Individual
DR. JESSICA RENEE SUNDBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
100 1ST AVE SW, LAMOURE, ND 58458-0158
(701) 883-4353
(701) 883-4228
Mailing address
PO BOX 158, LAMOURE, ND 58458-0158
(701) 883-4353
(701) 883-4228
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
464
AK
111N00000X
Chiropractor
Primary
767
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13651
—
ND
05
—
13655
—
ND
01
—
26403
BLUE CROSS
ND
Enumeration date
05/08/2006
Last updated
01/10/2013
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