Individual
ALEXIS JAE INT VELDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 N 7TH ST, BISMARCK, ND 58501-4417
(701) 323-8920
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC1086
ND
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/06/2024
Last updated
08/22/2024
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