Individual
KRISTINA ANN GANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2520 E BROADWAY AVE LOT 25, BISMARCK, ND 58501-5032
(701) 204-2178
Mailing address
2520 E BROADWAY AVE LOT 25, BISMARCK, ND 58501-5032
(701) 204-2178
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
ND
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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