Individual
THOMAS SCOTT LONGIE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 E ARBOR AVE APT 206A, BISMARCK, ND 58504-5700
(701) 595-2819
Mailing address
215 E ARBOR AVE APT 206A, BISMARCK, ND 58504-5700
(701) 595-2819
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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