Individual
TABITHA PERISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
213 20TH ST E, WEST FARGO, ND 58078-2373
(701) 729-0509
Mailing address
213 20TH ST E, WEST FARGO, ND 58078-2373
(701) 729-0509
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
PER-96-8802
ND
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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