Individual
JESSICA WALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 21ST AVE NW, SUITE B, MINOT, ND 58703-0816
(701) 328-3936
(701) 857-7724
Mailing address
1425 21ST AVE NW, SUITE B, MINOT, ND 58703-0816
(701) 328-3936
(701) 857-7724
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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