SearchNorth Dakota343900000X

Grace Clarke

NPI 1891522991 · on the registry since 2024 · sole proprietor

Practice

Address
5509 36th Ave S
Fargo, ND 58104
Phone
(267) 971-8143
Organisation at this address
Faith Restored Enterprise Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
ND
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-09-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota