Individual
DAWN MARSHELLE TACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2585 DAKOTA BLVD APT 211, DICKINSON, ND 58601-2598
(701) 820-0120
Mailing address
627 3RD AVE E, DICKINSON, ND 58601-4412
(701) 820-0120
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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