| Presticor, Inc. | |
|
2603 Kirsten Ln S Ste 104, Fargo, ND 58104-5204 | |
| (701) 478-2020 | |
| Not Available |
| Full Name | Presticor, Inc. |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 2603 Kirsten Ln S Ste 104, Fargo, North Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487171245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1437103959 (North Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Presticor, Inc. 2603 Kirsten Ln S Ste 104, Fargo, ND 58104-5204 Ph: (701) 478-2020 | Presticor, Inc. 2603 Kirsten Ln S Ste 104, Fargo, ND 58104-5204 Ph: (701) 478-2020 |
Brad Kittelson, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1720 University Dr S, Fargo, ND 58103 Phone: 701-280-4474 | |
Alexis Ann Allen, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1749 38th St S, Fargo, ND 58103 Phone: 701-417-6536 | |
Keiley Shae Johnson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2970 Brandt Dr S Apt 214, Fargo, ND 58104 Phone: 701-212-6207 | |
Madeline Henke, RDN, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-301-1016 | |
Amy E Hieb, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078 | |
Sarah M Tee, MPH RD LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1630 1st Ave N Ste B, Fargo, ND 58102 Phone: 630-439-4775 | |
Alycia Evenocheck, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 |