Individual
BEDANIDHI ACHARYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3537 LINCOLN ST S, FARGO, ND 58104-7510
(701) 730-8828
Mailing address
3537 LINCOLN ST S, FARGO, ND 58104-7510
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1479828
—
ND
Enumeration date
11/11/2020
Last updated
11/11/2020
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