ERVIN DEDIC

FARGO, ND
NPI1316778681
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
(Licence: ND  DED-04-5515)
Enumeration Date2024-08-09
Last Update Date2024-08-09
Business Address
ERVIN DEDIC
4892 51ST AVE S
FARGO, ND 58104-6023
Phone number: 701-515-8713
Mailing Address
ERVIN DEDIC
4892 51ST AVE S
FARGO, ND 58104-6023
Phone number: 701-515-8713