Individual
JANIS SORUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5436 67TH AVE NE, CHURCHS FERRY, ND 58325-9652
(701) 570-2699
Mailing address
717 1ST ST N, ELLENDALE, ND 58436-7218
(701) 381-9404
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1469086
ND
385H00000X
Respite Care
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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