Individual
SUSAN JEAN KINZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5101 17TH AVE S, FARGO, ND 58103-8973
(701) 318-4054
Mailing address
5101 17TH AVE S, FARGO, ND 58103-8973
(701) 318-4054
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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