Individual
NONA JO BLAISDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1113 CHESTNUT LN, BEULAH, ND 58523-6426
(701) 870-1243
Mailing address
1113 CHESTNUT LANE, POBOX 703, BEULAH, ND 58523
(701) 870-1243
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/22/2020
Last updated
11/22/2020
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