Individual
JENNA MARIE TULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2512 S WASHINGTON ST STE A, GRAND FORKS, ND 58201-6772
(218) 791-0908
Mailing address
2512 S WASHINGTON ST STE A, GRAND FORKS, ND 58201-6772
(218) 791-0908
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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