Individual
ELLEY JASKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
824 3RD ST N, WAHPETON, ND 58075-3404
(701) 640-9422
Mailing address
824 3RD ST N, WAHPETON, ND 58075-3404
(701) 640-9422
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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