Individual
JULIE INGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11580 23RD ST SW, DICKINSON, ND 58601-8249
(701) 590-1064
Mailing address
11580 23RD ST SW, DICKINSON, ND 58601-8249
(701) 590-1064
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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