Individual
SERENA MARIE WALLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9852 BIA RD 3, BELCOURT, ND 58316
(701) 477-0272
Mailing address
PO BOX 562, ROLLA, ND 58367-0562
(701) 477-9583
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
ND
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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