Individual
MS. KELLY FAYE GLASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4250 MCKENZIE DR SE APT 203, MANDAN, ND 58554-6241
(701) 667-1592
Mailing address
4250 MCKENZIE DR SE APT 203, MANDAN, ND 58554-6241
(701) 667-1592
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/10/2020
Last updated
10/10/2020
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