Individual
ALISA THUNDER HAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5008 4TH AVE, CANNON BALL, ND 58528-7712
(701) 301-0240
Mailing address
PO BOX 4, CANNON BALL, ND 58528-0004
(701) 301-0240
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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