Type | Legal entity | [sources] | |||
---|---|---|---|---|---|
Name | Pryor, Christine | [sources] | |||
Legal form | not available | [sources] | |||
Country | United States of America | [sources] | |||
Description | Medicaid Provider ID: 1483925 | [sources] | |||
NPI | 1275000184 | [sources] | |||
Sector | N/A | [sources] | |||
Status | not available | [sources] | |||
Address | 137 Prairie Wood Drive S #302 Fargo, ND 58103 | [sources] | |||
Last change | Last processed | First seen |
This dataset contains a list of providers who have been terminated for cause from North Dakota's Medicaid program.
United States of America · NDHHS
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