Individual
KAYLA MARIE QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 360-3542
Mailing address
1526 11TH AVE S, FARGO, ND 58103-3018
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R34828
ND
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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