Individual
KRYSTAL ROSE GRANDBOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 12TH ST W, BOTTINEAU, ND 58318-2010
(701) 228-3084
Mailing address
124 BENNETT ST, BOTTINEAU, ND 58318-1038
(701) 871-3125
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
12/13/2021
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