Individual
KIA HEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 LIBRARY CIR, GRAND FORKS, ND 58201-6317
(701) 223-2417
Mailing address
4909 SHELBURNE ST, BISMARCK, ND 58503-5605
(701) 223-2417
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172A00000X
Driver
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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