Individual
JOLLEN MAE ESTUCHE JEREOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
Mailing address
6506 27TH ST S, FARGO, ND 58104-7968
(701) 339-3206
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R43942
ND
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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