Individual
CRYSTAL JOY MELAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 WESTERN AVE N, MADDOCK, ND 58348
(701) 351-0460
Mailing address
PO BOX 371, MADDOCK, ND 58348-0371
(701) 351-0460
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1463732
ND
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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