Individual
JARIGUEZ COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3911 20TH AVE S, FARGO, ND 58103-4705
(701) 271-1618
Mailing address
3911 20TH AVE S, FARGO, ND 58103-4705
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
06/25/2019
Last updated
12/15/2020
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