Individual
IRANKUNDA EDDY WALCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7219 26TH ST S, FARGO, ND 58104-7931
(701) 630-9247
(701) 630-9247
Mailing address
7219 26TH ST S, FARGO, ND 58104-7931
(701) 630-9247
(701) 630-9247
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
EDM-00-8004
ND
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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