LISA J MATTILA

FARGO, ND
NPI1518892116
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MN  LP652898-2765380)
Enumeration Date2026-06-15
Last Update Date2026-06-15
Business Address
LISA J MATTILA
2101 ELM ST N
FARGO, ND 58102-2417
Phone number: 701-232-3241
Mailing Address
LISA J MATTILA
2101 ELM ST N
FARGO, ND 58102-2417
Phone number:
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