Individual
KAYLA KNUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 ALTA AVE N, ESMOND, ND 58332-5833
(701) 230-8272
Mailing address
PO BOX 122, ESMOND, ND 58332-0122
(701) 230-8272
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
ND
Other
Enumeration date
12/26/2020
Last updated
12/26/2020
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