Individual
RAGENA ANN WANKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
216 1ST ST. E, GOODRICH, ND 58444
(701) 301-0094
Mailing address
PO BOX 36, GOODRICH, ND 58444-0036
(701) 301-0094
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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