Individual
JACK WYCKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
339 WEHRLE DR, RICHARDTON, ND 58652-7105
(972) 757-0335
Mailing address
339 WEHRLE DR, RICHARDTON, ND 58652-7105
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
ND
Other
Enumeration date
01/03/2026
Last updated
02/02/2026
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