Individual
JADYN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 S 42ND ST, GRAND FORKS, ND 58201-5712
(701) 775-3151
Mailing address
3700 RUEMMELE RD APT 105, GRAND FORKS, ND 58201-6436
(182) 309-3632
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
804
ND
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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