Individual
JEANMARIE CLARA HUOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4 N PARK ST, NORTHWOOD, ND 58267-4102
(701) 587-6060
Mailing address
PO BOX 190, NORTHWOOD, ND 58267-0190
(701) 587-6060
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1062374
ND
363A00000X
Physician Assistant
Primary
PAC0734
ND
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
PAC0734
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1475203
—
ND
Enumeration date
03/21/2013
Last updated
09/27/2024
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