NPI 1093496523

Samantha Jensen, CPEDCFO

Practitioner Pedorthist Fargo, ND

Practice location

Address: 2101 Elm St N, Fargo, ND 58102-2417
Phone: (701) 232-3241

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X

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Registry record

NPI: 1093496523
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jul 2023
Record last updated: 27 Jul 2023

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.