Individual
TANYA JEANOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 S 4TH ST STE 401, GRAND FORKS, ND 58201-4715
(701) 795-3000
Mailing address
151 S 4TH ST STE 401, GRAND FORKS, ND 58201-4715
(701) 795-3000
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
04/26/2024
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