Individual
JANICE R TABO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
916 N 39TH ST, GRAND FORKS, ND 58203-2017
(701) 885-1174
Mailing address
2100 S 29TH ST APT 204, GRAND FORKS, ND 58201-5887
(701) 885-1174
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L18312
ND
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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