Individual
SANTANA ROSE HETTICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA 2
Contact information
Practice address
PO BOX 31, CANNON BALL, ND 58528-0031
(701) 445-3431
Mailing address
PO BOX 31, CANNON BALL, ND 58528-0031
(701) 445-3431
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
ND
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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