Individual
JUSTIN RAY PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
Mailing address
5109 18TH ST N, MOORHEAD, MN 56560-8806
(760) 885-6620
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
R-1375
ND
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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