Individual
JACE R OTREMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2850 UPTOWN WAY S APT 407, FARGO, ND 58104-2804
(952) 220-4467
Mailing address
2850 UPTOWN WAY S APT 407, FARGO, ND 58104-2804
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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