| NPI | 1730623943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE WANGUI Family Nurse Practitioner 701-403-5479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: ND R35283) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |