Individual
JESSICA POE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 MAIN ST # 3, PORTAL, ND 58772-7204
(864) 401-6555
Mailing address
PO BOX 13, PORTAL, ND 58772-0013
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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