Individual
GRACY RUTH LELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 139TH AVE NE, PORTLAND, ND 58274-9223
(701) 430-0322
Mailing address
409 139TH AVE NE, PORTLAND, ND 58274-9223
(701) 430-0322
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
ND
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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