Individual
BETANIA LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1336 6TH ST E APT 1, WEST FARGO, ND 58078-4005
(907) 570-1895
Mailing address
1336 6TH ST E APT 1, WEST FARGO, ND 58078-4005
(907) 570-1895
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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