Individual
MR. MANUEL JOSEPH COTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.N.A.-C.M.A
Contact information
Practice address
514 10TH AVE W, WILLISTON, ND 58801-4837
(701) 572-6416
Mailing address
514 10TH AVE W, WILLISTON, ND 58801-4837
(701) 572-6416
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
21153
ND
374U00000X
Home Health Aide
21153
ND
376K00000X
Nurse's Aide
Primary
21153
ND
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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