Individual
TRISTA KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3480 SHAMROCK LOOP, DICKINSON, ND 58601-8383
(406) 480-0174
Mailing address
3480 SHAMROCK LOOP, DICKINSON, ND 58601-8383
(406) 480-0174
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
R35491
ND
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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