Individual
PETER UNDORBOUYE UKAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1094 HIGHLAND LN W, WEST FARGO, ND 58078-8891
(701) 729-3478
Mailing address
1094 HIGHLAND LN W, WEST FARGO, ND 58078-8891
(701) 729-3478
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
R48937
ND
Other
Enumeration date
11/20/2025
Last updated
11/24/2025
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