Individual
SHAWNTALE L THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4530 30TH AVE NW UNIT 111, MANDAN, ND 58554-1322
(701) 409-5076
Mailing address
4530 30TH AVE NW UNIT 111, MANDAN, ND 58554-1322
(701) 409-5076
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
40346
ND
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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