Individual
ISMAIL FARAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4333 15TH AVE S APT 324, FARGO, ND 58103-3356
(701) 541-5429
Mailing address
1301 BELSLY BLVD APT 217, MOORHEAD, MN 56560-5176
(701) 541-5429
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
692
ND
Other
Enumeration date
06/21/2025
Last updated
06/21/2025
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