Individual
MRS. KELLI ELAINE QUICK BEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2860 85TH AVE NW, NEW TOWN, ND 58763-5876
(701) 421-1623
Mailing address
PO BOX 625, NEW TOWN, ND 58763-0625
(701) 421-1623
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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