Individual
MRS. SHANTELLE LACE PETROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 13TH AVE W, SUITE 1, DICKINSON, ND 58601-4879
(701) 227-7500
(701) 227-7575
Mailing address
300 13TH AVE W, SUITE 1, DICKINSON, ND 58601-4879
(701) 227-7500
(701) 227-7575
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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