Individual
JESSICA REGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
232 3RD ST NE, VALLEY CITY, ND 58072-3014
(701) 845-3402
Mailing address
13913 30TH ST SE, BUFFALO, ND 58011-9742
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1423
ND
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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