Individual
ODELL M TRAVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6564 28TH ST S, FARGO, ND 58104-4635
(701) 781-7224
Mailing address
6564 28TH ST S, FARGO, ND 58104-4635
(701) 781-7224
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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