Individual
PHILLIP CODY NADEAU I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9862 46TH AVE NE UNIT 1148, BELCOURT, ND 58316
(701) 550-7045
Mailing address
9862 46TH AVE NE UNIT 1148, BELCOURT, ND 58316-0276
(701) 550-7045
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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