Individual
HELEN REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
306 4TH ST N, FARGO, ND 58102-4820
(701) 239-7111
Mailing address
PO BOX 2625, FARGO, ND 58108-2625
(701) 271-6378
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9188
MN
363A00000X
Physician Assistant
Primary
PAC018
ND
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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