Individual
KAYLA MARIE LAGERQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9634 12TH AVE NE LOT 11, BOTTINEAU, ND 58318-7229
(701) 415-8663
Mailing address
9634 12TH AVE NE LOT 11, BOTTINEAU, ND 58318-7229
(701) 415-8663
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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