Individual
LEJLA HIDANOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4379 33RD AVE S APT 220, FARGO, ND 58104-8615
(701) 541-7751
Mailing address
4379 33RD AVE S APT 220, FARGO, ND 58104-8615
(701) 541-7751
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/13/2022
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