Individual
JENNEH ARTU FAHNBULLEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3612 56TH ST S, FARGO, ND 58104-4492
(720) 226-5846
Mailing address
3612 56TH ST S, FARGO, ND 58104-4492
(720) 226-5846
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
73733
ND
Other
Enumeration date
01/19/2023
Last updated
04/07/2023
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