Individual
MADISON RAE FONTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1309 8TH AVE SE, MANDAN, ND 58554-4516
(701) 415-8938
Mailing address
1309 8TH AVE SE, MANDAN, ND 58554-4516
(701) 415-8938
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
ND
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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