Individual
JARED GERVAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-3640
(218) 683-2699
Mailing address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-3640
(218) 683-2699
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3344
MN
152W00000X
Optometrist
Primary
742
ND
Other
Enumeration date
10/06/2010
Last updated
04/04/2022
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