Individual
MS. WINONA CLARICE KITZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1141 W OWENS AVE, APT 107, BISMARCK, ND 58501-1333
(701) 204-5128
Mailing address
1141 W OWENS AVE, APT 107, BISMARCK, ND 58501-1333
(701) 204-5128
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L11779
ND
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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