Individual
LACYE RAYE KNUDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1001 N 11TH ST, BISMARCK, ND 58501-4157
(406) 370-3635
Mailing address
1001 N 11TH ST, BISMARCK, ND 58501-4157
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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