Individual
MRS. SANDRA STALEMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 280-4418
(701) 280-4419
Mailing address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 280-4418
(701) 280-4419
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
243
ND
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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