Individual
NORMA JEAN REITENBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QSP
Contact information
Practice address
519 11TH ST NE, MINOT, ND 58703-2745
(701) 838-8084
Mailing address
PO BOX 1002, MINOT, ND 58702-1002
(701) 340-2090
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
60926
ND
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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