Individual
EVON OTEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1214 27TH AVE W, WEST FARGO, ND 58078-8558
(701) 213-2670
Mailing address
1214 27TH AVE W, WEST FARGO, ND 58078-8558
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R42881
ND
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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