Individual
JESSICA LYNN DECOTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4723 BIA ROAD 10, BELCOURT, BELCOURT, ND 58316
(701) 477-5804
Mailing address
PO BOX 2152, BELCOURT, ND 58316-2152
(701) 472-2015
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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