Individual
JENNIFER BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4825 28TH AVE S APT 2203, FARGO, ND 58104-5927
(218) 791-1125
Mailing address
625 23RD ST E APT A, WEST FARGO, ND 58078-2386
(218) 791-1125
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
ND
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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