TIMOTHY WILSON

FARGO, ND
NPI1407393358
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2017-01-30
Last Update Date2017-01-30
Business Address
TIMOTHY WILSON
2624 9TH AVE S
FARGO, ND 58103-2350
Phone number: 701-298-4500
Mailing Address
TIMOTHY WILSON
2624 9TH AVE S
FARGO, ND 58103-2350
Phone number: 701-298-4500