Individual
BEVERLY BRISCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 1ST AVE NE, KENMARE, ND 58746-7502
(701) 385-4400
Mailing address
711 1ST AVE NE, KENMARE, ND 58746-7502
(701) 385-4400
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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