Individual
CHERYLYNN M FAUSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
814 KENNEDY CT N, FARGO, ND 58102-3648
(701) 293-5054
Mailing address
814 KENNEDY CT N, FARGO, ND 58102-3648
(701) 293-5054
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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