Individual
BRANDY MARIE MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
646 LEWIS AVE APT E3, LARIMORE, ND 58251-4221
(701) 213-6786
Mailing address
PO BOX 117, LARIMORE, ND 58251-0117
(701) 213-5928
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1464843
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1464843
—
ND
Enumeration date
12/04/2020
Last updated
12/04/2020
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