Individual
WANDA KAY FREADRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 ARNOLD AVE, PORTLAND, ND 58274-4033
(701) 788-8720
Mailing address
601 ARNOLD AVE, PORTLAND, ND 58274-4033
(701) 788-8720
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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