Individual
KIFFANY DAWN BRUECHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 17TH AVE N, WAHPETON, ND 58075-3317
(701) 899-2366
Mailing address
605 17TH AVE N, WAHPETON, ND 58075-3317
(701) 899-2366
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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