Individual
TAYLOR TRENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5486 JUSTICE DR S, FARGO, ND 58104-9022
(701) 202-5171
Mailing address
5486 JUSTICE DR S, FARGO, ND 58104-9022
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R47161
ND
Other
Enumeration date
09/21/2024
Last updated
09/21/2024
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