Individual
DEN NA LEE FEWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1237 W DIVIDE AVE STE 5, BISMARCK, ND 58501-1208
(701) 319-7134
Mailing address
1237 W DIVIDE AVE STE 5, BISMARCK, ND 58501-1208
(701) 319-7134
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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