Individual
MEREDYTH BROOKE ILSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1173 LANDECO LN APT 313, GRAND FORKS, ND 58201-8741
(361) 806-3476
Mailing address
1173 LANDECO LN APT 313, GRAND FORKS, ND 58201-8741
(361) 806-3476
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
ND
Other
Enumeration date
10/26/2023
Last updated
10/30/2023
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