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Organization

STALINA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARTINA DORLIAE (DIRECTOR, OWNER)
(612) 212-9249
Entity
Organization

Contact information

Practice address
4862 47TH AVE S, FARGO, ND 58104-6034
(612) 212-9249
Mailing address
4862 47TH AVE S, FARGO, ND 58104-6034
(612) 212-9249

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
09/21/2022
Last updated
09/21/2022
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