Individual
SAMATHA JEAN PELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3262 4TH AVE E APT 110, DICKINSON, ND 58601-5066
(970) 570-5606
Mailing address
3262 4TH AVE E APT 110, DICKINSON, ND 58601-5066
(970) 570-5606
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
139682
ND
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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