Healthcare Provider Details

I. General information

NPI: 1982533808
Provider Name (Legal Business Name): JAPPS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

938 15TH AVE W
WEST FARGO ND
58078-3215
US

IV. Provider business mailing address

6008 80TH AVE S
HORACE ND
58047-5524
US

V. Phone/Fax

Practice location:
  • Phone: 701-809-8349
  • Fax:
Mailing address:
  • Phone: 701-809-8349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: MR. SEI DAA WONOKAY
Title or Position: OWNER
Credential:
Phone: 701-809-8349