Individual
MS. JUDLY GBALAWOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7071 BENJI LN, HORACE, ND 58047-2822
(701) 561-2880
Mailing address
7071 BENJI LN, HORACE, ND 58047-2822
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
66492
ND
Other
Enumeration date
09/14/2024
Last updated
01/15/2025
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