Individual
KYLENE J PONSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-8531
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-8531
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R035337
ND
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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