Individual
MISS JENNIFER KAY STUBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3883 74TH AVE NE, FORT TOTTEN, ND 58335
(701) 766-1657
(701) 766-1625
Mailing address
PO BOX 309, FORT TOTTEN, ND 58335-0309
(701) 766-1657
(701) 766-1625
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5401
ND
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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