Individual
MEJRA ELEZOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1670 E GATEWAY CIR S APT 214, FARGO, ND 58103-3767
(701) 318-4524
Mailing address
731 27TH ST N, FARGO, ND 58102-3130
(701) 306-1277
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
1451608
ND
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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