Individual provider · NPI-1

Leeshan Fahnbulleh

Home Health Aide · Fargo, ND

NPI number1346169190
StatusActive
Last updated in NPPESJul 14, 2026

Details

NPI
1346169190
Entity type
Individual (NPI-1)
Name
Leeshan Fahnbulleh
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 14, 2026
Certification date
Jul 14, 2026
Last updated
Jul 14, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide65136NDYes

Practice location

2540 36th Ave S # 58104
Fargo, ND 58104-5153

Phone 701-491-0896

Mailing address

2540 36th Ave S
Fargo, ND 58104-5153

Phone 701-491-0896

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