Individual
JAIA RAYNE RAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4901 44TH AVE S, APT 109, FARGO, ND 58104-3992
(701) 277-6939
Mailing address
4901 44TH AVE S, APT 109, FARGO, ND 58104-3992
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A435690
CA
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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