Individual
MICHAELINE COOPER YOUNGKENDEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3340 42ND ST S APT 314, FARGO, ND 58104-6940
(610) 803-5827
(610) 803-5827
Mailing address
3340 42ND ST S APT 314, FARGO, ND 58104-6940
(610) 803-5827
(610) 803-5827
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200679
ND
163W00000X
Registered Nurse
Primary
R53621
ND
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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