Individual
ASHLEIGH KAITLIN LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
310 WARD ST, MAKOTI, ND 58756-0098
(701) 651-8850
Mailing address
PO BOX 98, MAKOTI, ND 58756-0098
(701) 651-8850
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
76897
ND
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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