Individual
MRS. EMILY M ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4040 42ND ST. S, SUITE K, FARGO, ND 58104
(701) 356-0080
(701) 356-0088
Mailing address
4708 47TH AVE S, FARGO, ND 58104
(701) 412-6920
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1010
ND
111N00000X
Chiropractor
4400
NC
Other
Enumeration date
12/10/2013
Last updated
07/17/2019
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