Individual
MRS. KELLIE M CASTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8611 53RD ST NE, DEVILS LAKE, ND 58301-9540
(701) 230-3042
Mailing address
818 3RD AVE NE UNIT A, DEVILS LAKE, ND 58301-2118
(402) 253-9307
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
10/23/2023
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