NPI 1093331779
Jessica Staska
Practice location
- Address
- 1126 Westrac Dr S, Fargo, ND 58103-2473
- Phone
- (218) 287-4338
- Mailing address
- 891 Belsly Blvd, Moorhead, MN 56560-5055
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1093331779
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Jun 2020
- Record last updated
- 18 Jun 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.