Individual
JENNIFER SANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3334 14TH AVE S, FARGO, ND 58103-3591
(701) 429-0077
Mailing address
3334 14TH AVE S, FARGO, ND 58103-3591
(701) 429-0077
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172A00000X
Driver
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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