Individual
KYLENE RAE VIVIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 WILKIE AVE NE, BELCOURT, ND 58316
(701) 477-0230
Mailing address
PO BOX 1071, BELCOURT, ND 58316-1071
(701) 477-0230
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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