Individual
TINA MIKKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 3RD ST NW, JAMESTOWN, ND 58401-2968
(701) 253-6319
Mailing address
520 3RD ST NW, JAMESTOWN, ND 58401-2968
(701) 253-6319
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
ND
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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