Individual
KELANI GENAE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2113 GRIMSRUD DR APT 207, BISMARCK, ND 58501-8138
(701) 851-0141
Mailing address
2113 GRIMSRUD DR APT 207, BISMARCK, ND 58501-8138
(701) 851-0141
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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