Individual
FIDELE MUTARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 10TH ST NE APT 203, JAMESTOWN, ND 58401-3422
(701) 809-2090
Mailing address
615 10TH ST NE APT 203, JAMESTOWN, ND 58401-3422
(701) 809-2090
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
FID-92-9833
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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