Individual
LANA SUE AHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3061 33RD ST S, FARGO, ND 58103-7883
(701) 232-9514
Mailing address
3517 KELLY ST N, FARGO, ND 58102-5513
(701) 799-3059
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
45552
ND
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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