Individual
BRENDA M MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 FOREST ST, LISBON, ND 58054-4138
(701) 680-7603
Mailing address
502 FOREST ST, LISBON, ND 58054-4138
(701) 680-7603
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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