Individual
KAITLAN ELIZABETH NEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5001 44TH AVE S APT 209, FARGO, ND 58104-4382
(406) 939-4179
Mailing address
5001 44TH AVE S APT 209, FARGO, ND 58104-4382
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
09/23/2024
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