Individual
EMILY GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1547 30TH AVE S, MOORHEAD, MN 56560-5149
(218) 287-4338
Mailing address
1547 30TH AVE S, MOORHEAD, MN 56560-5149
(218) 287-4338
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
BMS00087
ND
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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