Individual
JON'E KAYE MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4448 BLUESTEM CT S, FARGO, ND 58104-4344
(773) 559-5478
Mailing address
4448 BLUESTEM CT S, FARGO, ND 58104-4344
(773) 559-5478
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/07/2020
Last updated
11/07/2020
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