Individual
JEREMIE MAZURU NKINZINGABO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4272 31ST AVE S, FARGO, ND 58104-8725
(701) 899-1651
Mailing address
4272 31ST AVE S, FARGO, ND 58104-8725
(701) 899-1651
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
97877
ND
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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