Individual
KRIN LEE GAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASCP
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
Mailing address
1936 29TH STREET CIR S, MOORHEAD, MN 56560-3919
(218) 329-8640
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
00-0111-I
ND
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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