Individual
PAUL KIM GEORGESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
817 3RD AVE NE APT 2, DEVILS LAKE, ND 58301-2103
(507) 216-2448
Mailing address
502 12TH AVE SE LOT 19, DEVILS LAKE, ND 58301-3815
(507) 512-9267
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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