JACOB EDLAND

FARGO, ND
NPI1598315681
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ND  pending)
Enumeration Date2019-09-19
Last Update Date2019-09-19
Business Address
JACOB EDLAND CRNA
5225 23RD AVE S
FARGO, ND 58104-7927
Phone number: 701-417-2000
Mailing Address
JACOB EDLAND CRNA
PO BOX 2168
FARGO, ND 58107-2168
Phone number: