Individual
TERRA BILLIET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 9TH ST E, WEST FARGO, ND 58078-3165
(701) 356-2050
Mailing address
2301 25TH ST S, FARGO, ND 58103-6104
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
442-11
ND
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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