Individual
EDEN GRACE KINDSVOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
802 5TH ST NW, MANDAN, ND 58554-2511
(701) 202-5390
Mailing address
PO BOX 53, CENTER, ND 58530-0053
(701) 207-0181
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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