Individual provider · NPI-1

Westin Adilis

Case Manager/Care Coordinator · Fargo, ND

NPI number1760124507
StatusActive
Last updated in NPPESApr 15, 2022

Details

NPI
1760124507
Entity type
Individual (NPI-1)
Name
Westin Adilis
Sex
Male
Sole proprietor
No
Enumeration date
Apr 12, 2022
Certification date
Apr 15, 2022
Last updated
Apr 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

1001 28th St S
Fargo, ND 58103-2372

Phone 701-232-3133 · Fax 701-478-4140

Mailing address

1001 28th St S
Fargo, ND 58103-2372

Phone 701-232-3133 · Fax 701-478-4140

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