Individual
LYUDMILA WERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 34TH ST S, MOORHEAD, MN 56560-6939
(218) 841-2684
Mailing address
3111 34TH ST S, MOORHEAD, MN 56560-6939
(218) 841-2684
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59681002608552
—
MN
Enumeration date
06/14/2018
Last updated
06/16/2018
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