Individual
JESUS CANTU III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 7TH ST W, DICKINSON, ND 58601-4335
(701) 483-0101
Mailing address
66 W MUSEUM DR, DICKINSON, ND 58601-3864
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
02/16/2024
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