Individual
PATRICIA ELLAN HAUGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26601 54TH AVE SW # NA, BERTHOLD, ND 58718-9189
(701) 240-6137
Mailing address
26601 54TH AVE SW, BERTHOLD, ND 58718-9189
(701) 240-6137
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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