Individual
MS. KIMBERLY ANN HUSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2107 19TH AVE W, WILLISTON, ND 58801-6508
(701) 609-6066
Mailing address
2107 19TH AVE W, WILLISTON, ND 58801-6508
(701) 609-6066
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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