Individual
MISS EDITH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 4TH ST N, FARGO, ND 58102-4818
(701) 595-9941
Mailing address
222 4TH ST N, FARGO, ND 58102-4818
(701) 595-9941
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172A00000X
Driver
—
ND
Other
Enumeration date
01/24/2023
Last updated
04/19/2024
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