Individual
CARLOS TREVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IQSP
Contact information
Practice address
1670 E GATEWAY CIR S., APT 217, FARGO, ND 58103
(701) 412-8444
Mailing address
1670 E GATEWAY CIR S., APT 217, FARGO, ND 58103
(701) 412-8444
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
ND
374U00000X
Home Health Aide
—
ND
376J00000X
Homemaker
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C273-008-163-612
STATE I.D.
MN
Enumeration date
06/12/2025
Last updated
06/12/2025
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