Individual
MISS BREANNA ALICE KIMMERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7849 HIGHWAY 57, SAINT MICHAEL, ND 58370-9000
(701) 381-0137
Mailing address
7849 HIGHWAY 57, SAINT MICHAEL, ND 58370-9000
(701) 381-0137
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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