Individual
JAMIE N NJOS SOISETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
222 UNIVERSITY AVE, WILLISTON, ND 58801
(701) 572-6757
(701) 774-3532
Mailing address
PO BOX 2397, WILLISTON, ND 58802-2397
(701) 572-6757
(701) 774-3532
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1024
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56116
—
ND
Enumeration date
12/13/2012
Last updated
02/26/2013
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