Individual
STACEY KAE BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5116 18TH AVE SE, MINOT, ND 58701-6068
(701) 340-7053
Mailing address
5116 18TH AVE SE, MINOT, ND 58701-6068
(701) 340-7053
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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