Individual
DIANA DAWN MARIE DECOTEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
527 22ND AVE NW APT 4, MINOT, ND 58703-0949
(701) 500-5510
Mailing address
506 17TH AVE SW, MINOT, ND 58701-6247
(701) 441-0411
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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