Individual
ANDREW HAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4205 MONTREAL ST APT 103, BISMARCK, ND 58503-0344
(818) 649-0631
Mailing address
4205 MONTREAL ST APT 103, BISMARCK, ND 58503-0344
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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