Individual
JODI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 3RD AVE N APT 104, WAHPETON, ND 58075-4126
(701) 640-0653
Mailing address
PO BOX 802, WAHPETON, ND 58074-0802
(701) 640-0653
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/12/2024
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