Individual
JESSICA ADELINE SATROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A-C
Contact information
Practice address
4656 40TH AVE S, FARGO, ND 58104-4397
(701) 234-8860
(701) 234-8924
Mailing address
2258 THORNDALE AVE, NEW BRIGHTON, MN 55112-5213
(701) 799-9444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12706
MN
Other
Enumeration date
02/26/2019
Last updated
04/29/2022
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