Individual
MISS NADEZHDA A DUDYREV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
904 LINCOLN AVE, BISMARCK, ND 58504-5324
(701) 202-8781
Mailing address
904 LINCOLN AVE, BISMARCK, ND 58504
(701) 202-8781
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
11/12/2020
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