Individual
ASHLEY MARIE MOTACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2553 KIRSTEN LN S STE 202, FARGO, ND 58104-4901
(701) 373-2020
(701) 373-0021
Mailing address
2553 KIRSTEN LN S STE 202, FARGO, ND 58104-4901
(701) 373-2020
(701) 373-0021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
700
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/14/2009
Last updated
07/12/2022
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