Individual
JESSE JAY SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 MAIN ST S, MINOT, ND 58701-3914
(701) 389-9363
Mailing address
100 MAIN ST S, MINOT, ND 58701-3914
(701) 500-3438
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
01/02/2024
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