Individual
JESSICA BOBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1206 1ST AVE S, FARGO, ND 58103-1747
(701) 941-0258
Mailing address
1206 1ST AVE S, FARGO, ND 58103-1747
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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