Individual
TRACEE ANN LEINEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
725 S 12TH ST LOT 225, BISMARCK, ND 58504-5960
(605) 848-4274
Mailing address
725 S 12TH ST LOT 225, BISMARCK, ND 58504-5960
(605) 848-4274
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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