Individual
NICHOLAS KONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1042 14TH AVE E, WEST FARGO, ND 58078-3363
(701) 388-8903
Mailing address
647 13TH AVE E, WEST FARGO, ND 58078-3328
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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