Individual
JENNI HETLETVED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1177 BORDER LN, WASHBURN, ND 58577-4102
(701) 462-3396
Mailing address
420 7TH ST, WASHBURN, ND 58577-4384
(701) 200-6551
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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