Individual
TAQUA TABASSUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 234-5933
Mailing address
5225 23RD AVE S, FARGO, ND 58104-7927
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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