Individual
JERICA GAMES-CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 N 12TH ST APT 1, BISMARCK, ND 58501-4387
(701) 626-1401
Mailing address
7 LOUISE AVE, WILTON, ND 58579-7200
(701) 626-1401
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477969
—
ND
Enumeration date
12/26/2020
Last updated
12/26/2020
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