Individual
MRS. SHANIA ROSE WIELENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 UNIVERSITY DR N APT 203, FARGO, ND 58102-1843
(320) 905-7335
Mailing address
1919 UNIVERSITY DR N APT 203, FARGO, ND 58102-1843
(320) 905-7335
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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