Individual
JACKLYN MARIE BIRCHEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 17TH ST S, FARGO, ND 58103-3934
(701) 308-0801
Mailing address
1321 17TH ST S, FARGO, ND 58103-3934
(701) 308-0801
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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