Individual
MRS. STACEY MARIE MILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 2ND AVE NE, MANDAN, ND 58554-3313
(701) 204-3263
Mailing address
107 2ND AVE NE, MANDAN, ND 58554-3313
(701) 204-3263
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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