Individual
MRS. SAMANTHA LARAE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
106 4TH AVENUE NORTH, FERGUS FALLS, MN 56537-1034
(218) 998-3778
(218) 998-3187
Mailing address
715 N. BIRCH ST, ROYALTON, MN 56373
(320) 584-5312
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R189758-4
MN
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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