Individual
JAMIE ENNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 4TH AVE NE, DEVILS LAKE, ND 58301-2458
(701) 662-6767
Mailing address
414 4TH AVE NE, DEVILS LAKE, ND 58301-2458
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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