Individual
ANITA MARIE JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
312 MILLER AVE., STANTON, ND 58571-5857
(406) 565-3203
Mailing address
PO BOX 312, STANTON, ND 58571-0312
(406) 565-3203
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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