Individual
REBECCA CLOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2205 28TH ST W APT 13, WILLISTON, ND 58801-2448
(701) 571-0030
Mailing address
13960 50TH DR NW, WILLISTON, ND 58801-9519
(701) 571-0030
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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