Individual
KAITLYN JORGENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4640 33RD AVE S APT 308, FARGO, ND 58104-7384
(701) 741-4668
Mailing address
4640 33RD AVE S APT 308, FARGO, ND 58104-7384
(701) 741-4668
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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