Individual
SHANNON PAUL LITTLEWOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 13TH AVE SE APT 40, DEVILS LAKE, ND 58301-3250
(701) 381-8647
Mailing address
18 PITCHER PARK SE, DEVILS LAKE, ND 58301-3909
(701) 381-8647
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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