Fashingoma Mugisha

NPI #1649164963 in Fargo, North Dakota

Provider Information

NPI Number: 1649164963
Entity Type: Individual
Name: Fashingoma Mugisha
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jun 3, 2025
Last Updated: Jun 3, 2025

Practice Location

Address: 905 27TH ST N
City: Fargo
State: North Dakota
ZIP Code: 58102-3134
Phone: (602) 751-1571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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