Individual
ANN MARIE SELZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4900 39TH AVE S, FARGO, ND 58104-4484
(618) 204-4525
Mailing address
4900 39TH AVE S, FARGO, ND 58104-4484
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3747P1801X
—
ND
Enumeration date
10/22/2020
Last updated
10/22/2020
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