Individual
MENUKA GHALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2222 S 17TH ST APT 201, GRAND FORKS, ND 58201-6287
(701) 864-1959
Mailing address
2222 S 17TH ST APT 201, GRAND FORKS, ND 58201-6287
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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