Individual
CASEY SAMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1340 ADMINISTRATION AVE, FARGO, ND 58105
(701) 231-8011
Mailing address
1924 52ND ST S, FARGO, ND 58103-7737
(701) 367-7818
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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