Individual
INDRA MAYA RAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 22ND ST S APT 301, FARGO, ND 58103-2980
(701) 630-5788
Mailing address
1102 22ND ST S APT 301, FARGO, ND 58103-2980
(701) 630-5788
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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