Individual
ALEX NYANGAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1518 34TH AVE S, MOORHEAD, MN 56560-6965
(206) 396-0842
Mailing address
1518 34TH AVE S, MOORHEAD, MN 56560-6965
(206) 396-0842
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
L18288
ND
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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