KIMBERLY HAWK EAGLE

FORT YATES, ND
NPI1467820118
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: ND  L14719)
Enumeration Date2015-09-11
Last Update Date2020-02-13
Business Address
KIMBERLY HAWK EAGLE LPN
10 N RIVER ROAD
FORT YATES, ND 58538
Phone number: 701-854-3831
Mailing Address
KIMBERLY HAWK EAGLE LPN
PO BOX J
FORT YATES, ND 58538-0527
Phone number: 701-854-3831