Individual
JENNA NOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
4526 12TH ST W, WEST FARGO, ND 58078-8830
(218) 779-9391
Mailing address
4526 12TH ST W, WEST FARGO, ND 58078-8830
(218) 779-9391
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2158
MN
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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