Individual
MRS. LUZCLARITA SELKE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 8TH ST S, FARGO, ND 58103-1822
(701) 360-2185
Mailing address
101 8TH ST S, FARGO, ND 58103-1822
(701) 360-2185
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
DUM00000
ND
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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