Individual
THEOLA RUTH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3350 JERICHO RD, BISMARCK, ND 58503-0974
(701) 421-6588
Mailing address
3350 JERICHO RD, BISMARCK, ND 58503-0974
(701) 421-6588
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
ND
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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