Individual
KRISTIE LYNN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 MAIN AVE W, SOUTH HEART, ND 58655
(701) 609-0310
Mailing address
PO BOX 96, SOUTH HEART, ND 58655-0096
(701) 609-0310
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
MUR854013
ND
3747P1801X
Personal Care Attendant
MUR854013
—
3747P1801X
Personal Care Attendant
Primary
MUR854014
ND
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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