Individual
MARY LAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 DELANO AVE, WALHALLA, ND 58282-4635
(701) 549-3808
Mailing address
PO BOX 552, WALHALLA, ND 58282-0552
(701) 549-3808
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
ND
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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