Individual
KELSEY JANE WYMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 W MAIN AVE APT 205, BISMARCK, ND 58501-4187
(701) 264-0694
Mailing address
1204 24TH ST NW APT 2, MANDAN, ND 58554-1585
(701) 391-7565
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/13/2024
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