Individual
HANNAH GRACE INGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
675 9TH ST E, DICKINSON, ND 58601-6207
(701) 483-1471
Mailing address
3961 115TH AVE SW, DICKINSON, ND 58601-9201
(701) 590-9197
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
ING-93-5550
ND
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/27/2020
Last updated
12/29/2020
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