(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003554460
Provider Name: LONDON ANDEL
Entity Type: Individual
Taxonomy Code: 106S00000X
Specialty: Behavior Technician
License Number:
Most Important Dates
Enumeration Date: 05/25/2022
Last Updated: 05/25/2022
Provider Practice Location
4152 30TH AVE S
FARGO
ND
581048524
Practice Location Phone/Fax
Phone: 7013642663
Fax:
Provider Mailing Location
4152 30TH AVE S
FARGO
ND
581048524
Provider Mailing Phone/Fax
Phone: 7013642663
Fax: