Individual
AMANDA J SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8226 35TH ST NE UNIT 297, TOKIO, ND 58379-7717
(701) 230-2974
Mailing address
PO BOX 161, TOKIO, ND 58379-0161
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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