Most Relevant Information
Provider Data
| NPI Number: | 1003537044 |
| Provider Name: | JENNY WEST |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/08/2022 |
| Last Updated: | 09/08/2022 |
Provider Practice Location
2624 9TH AVE S
FARGO
ND
581032350
Practice Location Phone/Fax
| Phone: | 7012984500 |
| Fax: | 7012984400 |
Provider Mailing Location
2624 9TH AVE S
FARGO
ND
581032350
Provider Mailing Phone/Fax
| Phone: | 7012984500 |
| Fax: | 7012984400 |