Individual
MS. BAILEY MARIE PROWATZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 OXFORD ST STOP 9025, GRAND FORKS, ND 58202-9025
(701) 777-4555
Mailing address
3608 GRAYSON DR, BURLINGTON, ND 58722-9541
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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