Search › North Dakota › 376K00000X
Fidele Mutara
NPI 1952122095 · on the registry since 2024 · sole proprietor
Practice
- Address
- 615 10th St Ne Apt 203
Jamestown, ND 58401 - Phone
- (701) 809-2090
- Organisation at this address
- Legacy Of Hope Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Sex
- Male
- Record last updated
- 2024-10-22
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