Individual
DEBRA JANE SANDBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2717 11TH AVE N, FARGO, ND 58102-3107
(701) 367-5837
Mailing address
2717 11TH AVE N, FARGO, ND 58102-3107
(701) 367-5837
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1475694
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1475694
—
ND
Enumeration date
12/18/2020
Last updated
12/18/2020
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