Individual
KASSANDRA VETTLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2701 13TH AVE S, FARGO, ND 58103-3602
(701) 234-3642
Mailing address
2764 11TH ST W, WEST FARGO, ND 58078-2467
Taxonomy
Speciality
Code
Description
License number
State
1835P0200X
Pediatric Pharmacist
Primary
RRPH6259
ND
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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