Individual
ALEX DANIEL YANISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
Mailing address
4837 53RD ST S, FARGO, ND 58104-4292
(701) 739-4021
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
R-1533
ND
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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