Individual
SHELLY JO PROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 TRUAX AVE W, VELVA, ND 58790-0337
(701) 340-2165
Mailing address
PO BOX 337, VELVA, ND 58790-0337
(701) 340-2165
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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