Provider Demographics
NPI:1629710991
Name:HODZIC, SABINA
Entity Type:Individual
Prefix:
First Name:SABINA
Middle Name:
Last Name:HODZIC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5420 AMBER VALLEY PKWY S APT 104
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-8940
Mailing Address - Country:US
Mailing Address - Phone:701-318-9413
Mailing Address - Fax:
Practice Address - Street 1:5420 AMBER VALLEY PKWY S APT 104
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-8940
Practice Address - Country:US
Practice Address - Phone:701-318-9413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant