Individual
TAYLOR SPICER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 19TH ST N APT 1, FARGO, ND 58102-3217
(218) 390-9958
Mailing address
1340 ADMINISTRATION AVE, FARGO, ND 58102
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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