Individual
DEANNA LYNN MUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
718 SAINT LOUIS PL, BISMARCK, ND 58504-7106
(701) 202-1526
Mailing address
718 SAINT LOUIS PL, BISMARCK, ND 58504-7106
(701) 202-1526
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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