Individual
JACQUELINE M SELBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3878 US HWY 281 #536, BELCOURT, ND 58316-1248
(701) 472-0240
Mailing address
PO BOX 1248, BELCOURT, ND 58316-1248
(701) 472-1610
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
ND
Other
Enumeration date
02/19/2022
Last updated
02/19/2022
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