Individual
JENNIFER A HERDEBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2405 ELBERT AVE, BALDWIN, ND 58521
(701) 426-9324
Mailing address
2405 ELBERT AVE, BOX 116, BALDWIN, ND 58521
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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