Individual
STACEY LEE KILLSPRETTYENEMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
157 NORTHWEST DR, BISMARCK, ND 58504-6658
(605) 230-9445
Mailing address
157 NORTHWEST DR, BISMARCK, ND 58504-6658
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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