Individual
MARY M NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3350 42ND ST S APT 110, FARGO, ND 58104-6950
(701) 799-0190
Mailing address
3350 42ND ST S APT 110, FARGO, ND 58104-6950
(701) 799-0190
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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