Individual
REBECCA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 ND-13 WEST, GWINNER, ND 58040
(121) 882-1723
Mailing address
PO BOX 514, GWINNER, ND 58040-0514
(121) 882-1723
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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