Individual
IZETA HIDANOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3305 30TH ST S, MOORHEAD, MN 56560-6027
(701) 212-0243
Mailing address
3305 30TH ST S, MOORHEAD, MN 56560-6027
(701) 212-0243
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
ND
Other
Enumeration date
10/06/2025
Last updated
10/24/2025
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