Individual
MARIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
710 ASH ST, LISBON, ND 58054-4223
(701) 308-0760
Mailing address
710 ASH ST, LISBON, ND 58054-4223
(701) 308-0760
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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