Individual
CASSANDRA COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
1506 30TH AVE S, MOORHEAD, MN 56560-5195
(218) 284-1188
Mailing address
1506 30TH AVE S, MOORHEAD, MN 56560-5195
(218) 284-1188
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1113
MN
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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