Individual
HALEY BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
194 MISSILE AVE., MINOT, ND 58704
(701) 723-5195
Mailing address
194 MISSILE AVE., MINOT, ND 58704
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
TX
Other
Enumeration date
09/23/2024
Last updated
01/30/2025
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