Individual
HEATHER WASNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
708 S WASHINGTON ST, GRAND FORKS, ND 58201-4328
(701) 746-0497
Mailing address
331 PRAIRIEWOOD CIR S APT 304, FARGO, ND 58103-4654
(701) 361-6265
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5900
ND
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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