Individual
SHELBY NOLEN MOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
5015 37TH AVE NW, MANDAN, ND 58554-1101
(701) 955-4052
Mailing address
5015 37TH AVE NW, MANDAN, ND 58554-1101
(701) 955-4052
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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