Individual
RANADA R CHARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
241 12TH AVE E, WEST FARGO, ND 58078-3016
(701) 306-7360
Mailing address
241 12TH AVE E, WEST FARGO, ND 58078-3016
(701) 306-7360
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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