Individual
SITA MONGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3483 47TH AVE S, FARGO, ND 58104-7768
(701) 205-7598
Mailing address
3483 47TH AVE S, FARGO, ND 58104-7768
(701) 205-7598
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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