Organization
ILLUMINNATE CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY NGUYEN CHRISTIANSON DC (CHIROPRACTOR)
(701) 541-1738
Entity
Organization
Contact information
Practice address
6560 45TH AVE S, FARGO, ND 58104-3324
(701) 541-1738
Mailing address
6560 45TH AVE S, FARGO, ND 58104-3324
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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