Individual
JORDAN REZNECHECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1831 6TH ST E, WEST FARGO, ND 58078-4230
(701) 212-0680
Mailing address
1831 6TH ST E, WEST FARGO, ND 58078-4230
(701) 212-0680
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MN
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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