Individual
ZOE M LITTLE OWL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 42ND ST S, FARGO, ND 58103-2119
(701) 277-5183
Mailing address
900 42ND ST S, FARGO, ND 58103-2119
(701) 277-5183
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
21423456
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
555456
—
MN
Enumeration date
06/09/2020
Last updated
06/09/2020
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