Individual
PRAKASH MONGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2804 S 17TH ST APT 103, GRAND FORKS, ND 58201-6644
(701) 864-6447
Mailing address
2804 S 17TH ST APT 103, GRAND FORKS, ND 58201-6644
(701) 864-6447
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/25/2020
Last updated
12/25/2020
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