Individual
GABRIELLE LYNN RUSTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QSP
Contact information
Practice address
304 3RD ST NW, BELFIELD, ND 58622-7126
(701) 690-7654
Mailing address
PO BOX 304, BELFIELD, ND 58622-0304
(701) 690-7654
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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