Individual
JOAN OTHOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
309 WASHINGTON AVE, WILLISTON, ND 58801
(701) 774-0741
Mailing address
601 E HELEN DRIVE, APT 2, WILLISTON, ND 58801
(240) 818-7175
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
08/30/2016
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