Individual
JENA GAYL LOVAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFY-SLP
Contact information
Practice address
4575 23RD AVE S STE 500, FARGO, ND 58104-8784
(701) 347-1782
Mailing address
713 28TH ST N, FARGO, ND 58102-3140
(701) 318-0889
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2662
ND
235Z00000X
Speech-Language Pathologist
528865
MN
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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