Individual
MASON ANDREW PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 UNIVERSITY DR S, FARGO, ND 58103-1775
(701) 239-3000
Mailing address
202 5TH ST NW APT 14, DILWORTH, MN 56529-1086
(701) 639-3356
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
146775
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/31/2024
Last updated
09/03/2024
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