Individual
MARCIA JEAN BETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3870 COUNTY ROAD 139, NEW SALEM, ND 58563-9746
(701) 226-0442
Mailing address
3870 COUNTY ROAD 139, NEW SALEM, ND 58563-9746
(701) 226-0442
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
ND
05
—
3747P1801X
—
ND
Enumeration date
09/08/2021
Last updated
09/08/2021
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