Individual
KATHLEEN M WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 2ND ST, GRANDIN, ND 58038-4002
(612) 757-8717
Mailing address
PO BOX 274, GRANDIN, ND 58038-0274
(612) 757-8717
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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