Individual
DESIRE B NKINZINGABO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4272 31ST AVE S, FARGO, ND 58104-8725
(701) 200-3783
Mailing address
4272 31ST AVE S, FARGO, ND 58104-8725
(701) 200-3783
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/07/2024
Last updated
09/16/2024
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