Individual
MISS JEANETTE LAVALLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7063 CROWHILL RD, OBERON, ND 58357-5835
(701) 314-9950
Mailing address
PO BOX 525, FORT TOTTEN, ND 58335-0525
(701) 314-9950
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
ND
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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