Individual
LASHONADA SHERRELL PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
556 23RD ST E, WEST FARGO, ND 58078-2359
(701) 561-3020
Mailing address
556 23RD ST E, WEST FARGO, ND 58078-2359
(701) 561-3020
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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