Individual
JENNA SUE SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1200 S COLUMBIA RD - ALTRU HOSPITAL, GRAND FORKS, ND 58201
(701) 780-5000
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1209
ND
Other
Enumeration date
05/25/2012
Last updated
04/25/2019
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