Individual
KIMBERLY ELAINE COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
818 OAK ST N APT 6, FARGO, ND 58102-3845
(701) 840-8504
Mailing address
629 2ND AVE W, WEST FARGO, ND 58078-1511
(701) 840-8504
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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