Individual
MISS CONNIE LYNN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2805 28TH AVE S, WILLISTON, ND 58849-5884
(206) 200-8595
Mailing address
PO BOX 752, RAY, ND 58849-0752
(206) 200-8595
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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