Ryan Wickerham
NPI #1063012656 in Belcourt, North Dakota
Provider Information
- NPI Number
- 1063012656
- Entity Type
- Individual
- Name
- Ryan Wickerham
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Oct 31, 2020
- Last Updated
- Oct 31, 2020
Practice Location
- Address
- 9862 46TH AVE NE 1191 KENT ADDITION
- Address 2
- 1191
- City
- Belcourt
- State
- North Dakota
- ZIP Code
- 58316
- Phone
- (701) 278-1111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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