Individual
JENNIFER GYENIAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4326 TRENTON DR, BISMARCK, ND 58503-1167
(614) 732-7972
Mailing address
4326 TRENTON DR, BISMARCK, ND 58503-1167
(614) 732-7972
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
GYN857125
ND
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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