Individual
MRS. MARIA LANE KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8449 65TH ST NE, WEBSTER, ND 58382-9609
(701) 350-1049
Mailing address
8449 65TH ST NE, WEBSTER, ND 58382-9609
(701) 350-1049
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/10/2020
Last updated
10/10/2020
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