Individual
BENJAMIN LESTER JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1430 34TH ST S APT 109, FARGO, ND 58103-6315
(701) 200-3064
Mailing address
403 9TH ST S, FARGO, ND 58103-1837
(701) 405-0344
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
DC
01
—
568946544
BCBS
—
01
—
5874
HEALTH PARTNERS
—
Enumeration date
11/14/2023
Last updated
11/15/2023
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