Katie Wynstra

NPI #1417557075 in Mandan, North Dakota

Provider Information

NPI Number: 1417557075
Entity Type: Individual
Name: Katie Wynstra
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Oct 31, 2020
Last Updated: Jan 10, 2021

Practice Location

Address: 1702 3RD AVE NW APT 4
City: Mandan
State: North Dakota
ZIP Code: 58554-1843
Phone: (701) 425-9314

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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