Individual
JAYME JO UTGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MLS
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 237-2646
Mailing address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 237-2646
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
1609
MT
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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