Individual
LYDIA ASA AKUA RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 SOUTH 18TH STREET, GRAND FORKS, ND 58201
(701) 757-0537
(701) 757-4024
Mailing address
610 SOUTH 18TH STREET, GRAND FORKS, ND 58201
(701) 757-0537
(701) 757-4024
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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