Individual
SIERRA ROSE PADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 AVENUE F W, ANAMOOSE, ND 58710-4041
(701) 340-3740
Mailing address
PO BOX 167, ANAMOOSE, ND 58710-0167
(701) 340-3740
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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