Individual
STAR EMERALD DEPIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 1ST ST NW LOT H, HILLSBORO, ND 58045-4113
(701) 630-3094
Mailing address
219 12TH ST S APT 205, FARGO, ND 58103-8205
(701) 630-3094
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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