Individual
KATHY LYNN BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 31ST AVE SE LOT 615, MINOT, ND 58701-7195
(701) 720-3659
Mailing address
800 31ST AVE SE LOT 615, MINOT, ND 58701-7195
(701) 720-3659
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
1408946
ND
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
1408946
ND
Other
Enumeration date
06/18/2021
Last updated
06/30/2021
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