Individual
AKUMBOM NGWA NEBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1524 4TH AVE E, WEST FARGO, ND 58078-4502
(513) 344-3602
Mailing address
1524 4TH AVE E, WEST FARGO, ND 58078-4502
(513) 344-3602
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
64447
ND
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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