Individual
VICKEY KPANNAH HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3841 50TH AVE S, FARGO, ND 58104-4624
(817) 691-7829
(817) 691-7829
Mailing address
3841 50TH AVE S, FARGO, ND 58104-4624
(817) 691-7829
(817) 691-7829
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
65621
ND
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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