Individual
JACQUELINE NICOLE CLOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 31ST AVE SW APT 205, MINOT, ND 58701-6960
(701) 340-9959
Mailing address
22 MAIN ST S APT 44, MINOT, ND 58701-3863
(701) 500-5198
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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