Individual
MICHELLE ANN TOLLERUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 ALTA AVE N, ESMOND, ND 58332-3203
(701) 351-2297
Mailing address
123 ALTA AVE N, ESMOND, ND 58332-3203
(701) 351-2297
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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