Amanda Wallace AAS, LPN

NPI # 

Practice Address:

2101 Elm St N

Fargo, ND, 58102-2417

Practice Phone:

701-239-3700

License Number:

L12882

License State:

ND

Taxonomy Grouping:

Nursing Service Providers

Taxonomy Classification:

Licensed Practical Nurse

Taxonomy Code:

164W00000X