Individual
LISA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
908 4TH AVE S, FARGO, ND 58103-1715
(702) 405-3601
Mailing address
908 4TH AVE S, FARGO, ND 58103-1715
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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