Lisa Charlie

NPI #1891393393 in Dickinson, North Dakota

Provider Information

NPI Number: 1891393393
Entity Type: Individual
Name: Lisa Charlie
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Oct 15, 2020
Last Updated: Oct 15, 2020

Practice Location

Address: 634 10TH AVE W
City: Dickinson
State: North Dakota
ZIP Code: 58601-4749
Phone: (701) 690-6299

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician - Personal Care Attendant — Personal Care Attendant	3747P1801X
Homemaker	376J00000X	Primary

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