NPI 1013504372

Marcia Mack

Practitioner Personal Care Attendant East Grand Forks, MN

Practice location

Address: 720 13th St NW, East Grand Forks, MN 56721-1473
Phone: (218) 773-2579

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X

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Registry record

NPI: 1013504372
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Dec 2020
Record last updated: 21 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.