Individual
BIR GHALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3121 32ND ST S APT 10, FARGO, ND 58103-7852
(701) 541-2598
Mailing address
3121 32ND ST S APT 10, FARGO, ND 58103-7852
(701) 541-2598
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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