MADELINE QUALLEY

FARGO, ND
NPI1518620145
Former NameMADELINE DEANE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ND  1309)
Enumeration Date2021-10-20
Last Update Date2022-05-23
Business Address
MADELINE QUALLEY
2400 32ND AVE S
FARGO, ND 58103-5800
Phone number: 701-234-2000
Mailing Address
MADELINE QUALLEY
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: