Individual
MARY HELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
309 COLLINS AVE, MANDAN, ND 58554-3002
(701) 663-9531
Mailing address
417 HURON DR, BISMARCK, ND 58503-8807
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
646
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50935
—
ND
01
—
646
STATE OTR LICENSE
ND
Enumeration date
01/22/2007
Last updated
07/08/2007
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