Individual
REBECCA KINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
238 5TH ST NW, TIOGA, ND 58852-7530
(701) 664-2358
Mailing address
PO BOX 523, TIOGA, ND 58852-0523
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
ND
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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