Individual
ELLIOTT WAYNE CLOUD SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27885 170TH AVE SW, CROOKSTON, MN 56716-9444
(218) 281-3506
(218) 281-3015
Mailing address
27885 170TH AVE SW, CROOKSTON, MN 56716-9444
(218) 281-3506
(218) 281-3015
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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