Individual
NYAKOUTH CHAKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3911 20TH AVE S, FARGO, ND 58103-4705
(701) 235-7341
Mailing address
5245 28TH AVE S APT 304, FARGO, ND 58104-9082
(701) 318-1118
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
174400000X010
ND
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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