Individual
KIRSTEN SVALESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
4500 36TH AVE S STE 100, FARGO, ND 58104-5275
(701) 566-0078
Mailing address
4500 36TH AVE S STE 100, FARGO, ND 58104-5275
(701) 566-0078
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1116
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
ND
Enumeration date
11/27/2019
Last updated
01/11/2021
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