Individual
CAROLINE ANN SPACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFO
Contact information
Practice address
3362 35TH AVE S, FARGO, ND 58104-8835
(701) 634-6240
Mailing address
3362 35TH AVE S, FARGO, ND 58104-8835
(701) 364-6240
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
CFO05278
ND
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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