Individual
MRS. ALESHA ALINA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 9TH ST S, FARGO, ND 58103-1831
(701) 212-8626
Mailing address
21 9TH ST S, FARGO, ND 58103-1830
(701) 212-8626
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
ND
175T00000X
Peer Specialist
Primary
—
ND
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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