Individual
MANDY RAE DOVALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1704 1ST AVE SW, MINOT, ND 58701-3401
(701) 500-7435
Mailing address
1704 1ST AVE SW, MINOT, ND 58701-3401
(701) 500-7435
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1479790
ND
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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