Individual
PEGGY ANN REINKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4255 30TH AVE S, FARGO, ND 58104-8427
(701) 478-8122
Mailing address
PO BOX 91, LISBON, ND 58054-0091
(701) 680-2188
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R21705
ND
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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