JEFFREY DOMINIC HAVLING

FARGO, ND
NPI1780347492
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-10-19
Last Update Date2021-10-19
Business Address
JEFFREY DOMINIC HAVLING
164 SANTA CRUZ DR S
FARGO, ND 58103-1059
Phone number: 760-408-8509
Mailing Address
JEFFREY DOMINIC HAVLING
164 SANTA CRUZ DR S
FARGO, ND 58103-1059
Phone number: 760-408-8509