Individual
KHADRA JAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2512 7TH AVE S STE F1, FARGO, ND 58103-8747
(701) 541-4647
Mailing address
3780 42ND ST S APT A, FARGO, ND 58104-7526
(701) 541-4647
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
11/15/2023
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