Individual
SA KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1503 N 14TH ST, BISMARCK, ND 58501-2758
(701) 400-5488
Mailing address
1301 N COLUMBIA RD, GRAND FORKS, ND 58202-6098
(701) 777-6289
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
07/07/2023
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