Shane Iljana
Shane Iljana is a Technician in Fargo, North Dakota. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location PO Box
PO Box 11394Fargo, ND 58106-1394
Phone: (218) 940-2331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Technician (primary) | Taxonomy 374700000X |
|---|
Record details
| NPI number | 1194510289 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 10, 2025 |
| Last updated in NPPES | April 10, 2025 |
| Certification date | April 10, 2025 |
| Mailing address | Po Box 11394, Fargo, ND 58106-1394 |
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