Individual
LETINA RAE AZURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SUPPORT SPECIAL
Contact information
Practice address
340 RED ROAD DR, BELCOURT, ND 58316
(701) 477-8931
Mailing address
PO BOX 874, BELCOURT, ND 58316-0874
(701) 477-8931
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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