Individual
MADISON MAE KLEIN MENSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5660 33RD AVE S APT 309, FARGO, ND 58104-7493
(605) 354-6630
Mailing address
5660 33RD AVE S APT 309, FARGO, ND 58104-7493
(605) 354-6630
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2482428
MN
163W00000X
Registered Nurse
Primary
R49709
ND
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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