Individual
SHAE FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 30TH AVE N, FARGO, ND 58102-1631
(701) 620-1766
Mailing address
209 30TH AVE N, FARGO, ND 58102-1631
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/05/2025
Last updated
04/16/2025
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