Individual
FAITH CAPOUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
Mailing address
2921 34TH AVE S APT 154, FARGO, ND 58104-5144
(701) 238-3920
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R31844
ND
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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