Individual
TERI RENAE KNOCHENMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(218) 443-2091
Mailing address
111 1ST ST NE, DILWORTH, MN 56529-2801
(218) 443-2091
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R47291
ND
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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