Individual
JEANIE MCHUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 N COLUMBIA RD STOP 9037, GRAND FORKS, ND 58202-9037
(701) 777-2344
Mailing address
1301 N COLUMBIA RD STOP 9037, GRAND FORKS, ND 58202-9037
(701) 777-2344
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0315
ND
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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