Individual
AMBIKA RAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 67TH AVE S, FARGO, ND 58104-7961
(701) 730-6458
Mailing address
1515 67TH AVE S, FARGO, ND 58104-7961
(701) 730-6458
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
94241
ND
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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