Individual
MRS. PALAK PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4656 40TH AVE S, FARGO, ND 58104
(701) 234-8860
Mailing address
4656 40TH AVE S, FARGO, ND 58104-4397
(701) 234-8860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9106926
FL
363A00000X
Physician Assistant
Primary
PAC0738
ND
Other
Enumeration date
02/28/2013
Last updated
09/14/2018
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