Individual
STACEY ANN BERTHIAUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
406 8TH ST NW, MANDAN, ND 58554-2708
(701) 527-6298
Mailing address
406 8TH ST NW, MANDAN, ND 58554-2708
(701) 527-6298
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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