Individual
ANGIE LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 2ND ST, PENN, ND 58362-6208
(701) 350-8005
Mailing address
109 2ND ST, PENN, ND 58362-6208
(701) 350-8005
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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