Individual
MRS. CHASITY MICHELLE LAVALLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4461 BIA ROAD 10 # 842, BELCOURT, ND 58316-7706
(701) 278-2244
Mailing address
PO BOX 1884, BELCOURT, ND 58316-1884
(701) 278-2244
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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