Individual
FEMINA MAMIE SOCLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4111 LOCKPORT ST, BISMARCK, ND 58503-5596
(701) 319-2704
Mailing address
4111 LOCKPORT ST APT 200, BISMARCK, ND 58503-5438
(701) 319-2704
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
3747P1801X
ND
Other
Enumeration date
04/26/2021
Last updated
12/09/2024
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