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Individual

PEACHES WOYEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2049 11TH ST W, WEST FARGO, ND 58078-2475
(215) 626-1017
Mailing address
2049 11TH ST W, WEST FARGO, ND 58078-2475
(215) 626-1017

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
L17633
ND
3747P1801X
Personal Care Attendant
Primary
L17633
ND

Other

Enumeration date
09/26/2022
Last updated
10/05/2022
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