Individual
HEATHER RAE MIKKELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4025 9TH AVE S STE D, FARGO, ND 58103-2101
(701) 551-2446
(701) 364-9938
Mailing address
4025 9TH AVE S STE D, FARGO, ND 58103-2101
(701) 551-2446
(701) 364-9938
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
TECH581
ND
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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