Individual
CODEE MARIA SIERRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2624 9TH AVE S, FARGO, ND 58103-2350
(701) 298-4500
Mailing address
2624 9TH AVE S, FARGO, ND 58103-2350
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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