SUPATTRA LANGE

FARGO, ND
NPI1316756125
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WM0705X Registered Nurse, Medical-Surgical
(Licence: ND  R42469)
Enumeration Date2025-01-06
Last Update Date2025-01-06
Business Address
SUPATTRA LANGE
2101 ELM ST N
FARGO, ND 58102-2417
Phone number: 701-239-3767
Mailing Address
SUPATTRA LANGE
2101 ELM ST N
FARGO, ND 58102-2417
Phone number: