Individual
TINA M AZURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9959 BIA RD 25, DUNSEITH, ND 58329
(701) 244-0693
Mailing address
PO BOX 1909, BELCOURT, ND 58316-1909
(701) 472-2394
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
1456575
ND
3747P1801X
Personal Care Attendant
Primary
1456575
ND
376J00000X
Homemaker
1456575
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1456575
—
ND
Enumeration date
05/19/2021
Last updated
05/19/2021
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