Individual
REID HARTL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
219 7TH ST S, FARGO, ND 58103-1819
(701) 429-4636
Mailing address
219 7TH ST S, FARGO, ND 58103-1819
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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