Individual
ALIZA LONGIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4051 72ND AVE NE, FORT TOTTEN, ND 58335
(701) 230-4557
Mailing address
PO BOX 503, FORT TOTTEN, ND 58335-0503
(701) 230-4557
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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