Individual
LISA CHARLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
634 10TH AVE W, DICKINSON, ND 58601-4749
(701) 690-6299
Mailing address
634 10TH AVE W, DICKINSON, ND 58601-4749
(701) 690-6299
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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