Individual
MARIE JEUNIDE FAVERDIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
3562 8TH ST E, WEST FARGO, ND 58078-5422
(701) 541-7351
(701) 532-2104
Mailing address
3562 8TH ST E, WEST FARGO, ND 58078-5422
(701) 541-7351
(701) 532-2104
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1479257
—
ND
Enumeration date
10/22/2020
Last updated
10/22/2020
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