Individual
REBECCA DRALU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6014 24TH ST S, FARGO, ND 58104-7629
(907) 738-0242
Mailing address
6014 24TH ST S, FARGO, ND 58104-7629
(907) 738-0242
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DRA-73-4995
—
ND
Enumeration date
01/28/2022
Last updated
01/28/2022
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