Individual
DESIREE BURLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 BURDICK EXPY E, MINOT, ND 58701-4768
(701) 857-7900
Mailing address
PO BOX 90, DES LACS, ND 58733-0090
(701) 509-3470
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
TECH1530
ND
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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