Individual
SHARLENE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 21ST AVE S, FARGO, ND 58103-5759
(701) 205-4772
Mailing address
1571 11TH AVE EAST, WEST FARGO, ND 58078-5759
(701) 205-4772
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
—
ND
Other
Enumeration date
04/10/2017
Last updated
04/13/2017
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