Individual
JENNIFER MAE ANN DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 S 4TH ST, GRAND FORKS, ND 58201-4737
(701) 787-1295
Mailing address
215 S 4TH ST, GRAND FORKS, ND 58201-4737
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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