Individual
JESSICA JEAN SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 6TH AVE NE, KENMARE, ND 58746
(701) 202-4289
Mailing address
PO BOX 773, KENMARE, ND 58746-0773
(701) 202-4298
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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