Organization
MONTERA HEALTH NORTH DAKOTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QINGQING MAO (ADMIN)
(415) 805-1725
Entity
Organization
Contact information
Practice address
3003 32ND AVE S STE 240, FARGO, ND 58103-6118
(865) 680-1516
Mailing address
3003 32ND AVE S STE 240, FARGO, ND 58103-6118
(865) 680-1516
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
01/31/2024
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