NPI 1952122095
Fidele Mutara
Practice location
- Address
- 615 10th St NE APT 203, Jamestown, ND 58401-3422
- Phone
- (701) 809-2090
Registered specialties
Nurse's Aide
Primary
Registry record
- NPI
- 1952122095
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Oct 2024
- Record last updated
- 22 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.