Individual
NICOLE M BRUECKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 DAKOTA ST, CARSON, ND 58529-4048
(701) 321-1358
Mailing address
506 DAKOTA ST, CARSON, ND 58529-4048
(701) 321-1358
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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