Individual
MARINA PACHUILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
309 WASHINGTON AVE, WILLISTON, ND 58801-5258
(701) 774-0741
Mailing address
4742 119TH RD NW LOT 403, EPPING, ND 58843-9780
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/27/2016
Last updated
08/31/2016
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