Most Relevant Information
Provider Data
| NPI Number: | 1003659749 |
| Provider Name: | BAILEE RATH |
| Entity Type: | Individual |
| Taxonomy Code: | 172A00000X |
| Specialty: | Driver |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/18/2024 |
| Last Updated: | 06/18/2024 |
Provider Practice Location
2701 9TH AVE S STE E
FARGO
ND
581038712
Practice Location Phone/Fax
| Phone: | 7012232417 |
| Fax: |
Provider Mailing Location
4909 SHELBURNE ST
BISMARCK
ND
585035605
Provider Mailing Phone/Fax
| Phone: | 7012232417 |
| Fax: |