Individual
MARY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 1ST AVE NW # NWW, MOHALL, ND 58761-4215
(503) 891-7958
Mailing address
303 1ST AVE NW # NWW, MOHALL, ND 58761-4215
(503) 891-7958
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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