Individual
JENNIFER JEAN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 6TH ST NW, MANDAN, ND 58554-2841
(701) 946-8412
Mailing address
104 6TH ST NW, MANDAN, ND 58554-2841
(701) 946-8412
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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