Individual
MARIAH KAE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 39TH AVE NW, MANDAN, ND 58554
(701) 527-0083
Mailing address
4200 39TH AVE NW, 4200 39TH AVE NW, MANDAN, ND 58554
(701) 527-0083
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
ND
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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