Individual
SALLY ZAPATA MOFFETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
Mailing address
728 CENTER AVE W # 15, DILWORTH, MN 56529-1350
(218) 329-6082
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
642154
MN
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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