Individual
SAVANNAH BALTRUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9225 66TH AVE NW, BOWBELLS, ND 58721-9328
(307) 689-1735
Mailing address
9225 66TH AVE NW, BOWBELLS, ND 58721-9328
(307) 689-1735
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
BAL866497
ND
372500000X
Chore Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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