Individual
JACQUELINE MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 CENTENNIAL RD LOT 96, BISMARCK, ND 58503-0723
(701) 220-9030
Mailing address
2500 CENTENNIAL RD LOT 96, BISMARCK, ND 58503-0723
(701) 220-9030
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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