Individual
MANDY RAE MORIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10115 42ND AVE NE, BELCOURT, ND 58316
(701) 630-5704
Mailing address
4169 ND-5, BELCOURT, ND 58316
(701) 630-5704
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
73234
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ND-3391809
—
ND
Enumeration date
06/29/2022
Last updated
06/29/2022
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