Individual
JACK ROSS CHRISTOPHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
455 22ND ST E UNIT B, WEST FARGO, ND 58078-2392
(701) 809-8571
Mailing address
455 22ND ST E UNIT B, WEST FARGO, ND 58078-2392
(701) 809-8571
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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