Individual
KEIANNA STEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14120 47TH LN NW, WILLISTON, ND 58801-8619
(701) 651-2817
Mailing address
14120 47TH LN NW, WILLISTON, ND 58801-8619
(701) 651-2817
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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