Individual
MEGAN WIDMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 34TH AVE S APT 1253, FARGO, ND 58104-5185
(281) 773-9987
Mailing address
2900 34TH AVE S APT 1253, FARGO, ND 58104-5185
(281) 773-9987
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
05/18/2024
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