Individual
ROXANNE MOOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 S 3RD ST, NEW SALEM, ND 58563-4203
(701) 340-4163
Mailing address
311 S 3RD ST, NEW SALEM, ND 58563-4203
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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