Michael Lt Gbolokai
Nurse's Aide in Fargo, ND. Individual provider (NPI-1).
NPI number1700687092
StatusActive
Last updated in NPPESMar 21, 2025
Details
- NPI
- 1700687092
- Entity type
- Individual (NPI-1)
- Name
- Michael Lt Gbolokai
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2025
- Certification date
- Mar 21, 2025
- Last updated
- Mar 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | 57933 | ND | Yes |
Practice location
4924 47th St S Apt 106Fargo, ND 58104-4418
Phone 701-491-0103
Mailing address
4924 47th St S Apt 106Fargo, ND 58104-4418
Phone 701-491-0103
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