Individual
LISA MARIE DESJARLAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4598 BIA ROAD 4, ROLLA, ND 58367-9567
(701) 278-0187
Mailing address
PO BOX 1148, ROLLA, ND 58367-1148
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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