Individual
MICHAEL DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3420 42ND ST S APT 118, FARGO, ND 58104-6968
(701) 212-8237
Mailing address
3420 42ND ST S APT 118, FARGO, ND 58104-6968
(701) 212-8237
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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