Individual
ACAI AGUAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5002 AMBER VALLEY PKWY S APT 309, FARGO, ND 58104-8704
(701) 612-1837
Mailing address
5002 AMBER VALLEY PKWY S APT 309, FARGO, ND 58104-8704
(701) 612-1837
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
46222
ND
3747P1801X
Personal Care Attendant
Primary
46222
ND
Other
Enumeration date
07/30/2025
Last updated
02/24/2026
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