Individual
RENEE KAY TWO SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
778 1ST AVE, CANNON BALL, ND 58528-7701
(701) 854-7077
Mailing address
PO BOX 171, CANNON BALL, ND 58528-0171
(701) 854-7077
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
12/16/2020
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