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Serena Eagle

NPI 1780440966 · on the registry since 2024 · sole proprietor

Practice

Address
410 7th Ave S
Devils Lake, ND 58301
Phone
(701) 230-3726

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
3747P1801X
3747P1801X
Licence states on file
ND
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota