Individual
BRENDA SUE WILLOUGHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8505 79TH AVE SE, MINOT, ND 58701-2306
(701) 720-9032
Mailing address
144 26TH ST SW, MINOT, ND 58701-3356
(701) 720-9032
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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