Individual
AMANNDA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
862 36TH AVE E APT 307, WEST FARGO, ND 58078-7924
(732) 289-4196
Mailing address
862 36TH AVE E APT 307, WEST FARGO, ND 58078-7924
(732) 289-4196
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
ND
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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