Individual
MADELINE RAE SMESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
501 S 9TH ST, GRAND FORKS, ND 58201-4417
(701) 330-8825
Mailing address
25204 422ND AVE SW, EAST GRAND FORKS, MN 56721-9608
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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