Individual
LUANN T HINNENKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3018 36TH AVE S, FARGO, ND 58104-8844
(701) 298-8285
Mailing address
3018 36TH AVE S, FARGO, ND 58104-8844
(701) 298-8285
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
HIN-58-6702
ND
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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