Individual
MRS. JANETTE ELIZABETH ANN VENAAS GILBRAITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10318 6TH ST S, FARGO, ND 58104-8116
(701) 238-3908
(701) 232-2330
Mailing address
10318 6TH ST S, FARGO, ND 58104-8116
(701) 238-3908
(701) 232-2330
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
528
ND
235Z00000X
Speech-Language Pathologist
7852
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55035
—
ND
Enumeration date
01/26/2007
Last updated
07/08/2007
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