Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 1137 | ND |
NPI | 1679162291 |
---|---|
Provider Name | Samantha Kay Pajestka |
First Address | Minot, ND 58701-6933 |
Second Address | Minot, ND 58701-6933 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2021 |
Last Update Date | 18/01/2021 |