Individual
JESSICA ANN LEITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1240 25TH ST S, FARGO, ND 58103-2367
(701) 241-8189
Mailing address
1240 25TH ST S, FARGO, ND 58103-2367
(701) 241-8189
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R38988
ND
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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