Individual
FAIZA GBEMISOLA AGIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3540 18TH ST S APT 103, MOORHEAD, MN 56560-7118
(872) 305-7704
Mailing address
3540 18TH ST S APT 103, MOORHEAD, MN 56560-7118
(872) 305-7704
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
01/25/2025
Last updated
01/25/2025
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