Individual
JENNIFER HOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDSP
Contact information
Practice address
1223 14TH ST NW LOT 46, DEVILS LAKE, ND 58301-4203
(701) 351-7369
Mailing address
1223 14TH ST NW LOT 56, DEVILS LAKE, ND 58301-4203
(701) 351-8362
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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