Most Relevant Information
Provider Data
| NPI Number: | 1003418013 |
| Provider Name: | SALEH KADHIM ALFATLAWI |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/13/2020 |
| Last Updated: | 11/13/2020 |
Provider Practice Location
167 SANTA CRUZ DR S
FARGO
ND
581031053
Practice Location Phone/Fax
| Phone: | 7013676280 |
| Fax: |
Provider Mailing Location
167 SANTA CRUZ DR S
FARGO
ND
581031053
Provider Mailing Phone/Fax
| Phone: | 7013676280 |
| Fax: |