Individual
KATHLEEN DIANA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 BIRCH ST, HAMPDEN, ND 58338-3801
(701) 370-0558
Mailing address
PO BOX 132, HAMPDEN, ND 58338-0132
(701) 370-0558
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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