Individual
DANIELLE WIEBUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
807 14TH AVE W, WILLISTON, ND 58801-4630
(701) 200-5636
Mailing address
807 14TH AVE W, WILLISTON, ND 58801-4630
(701) 200-5636
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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