Most Relevant Information
Provider Data
| NPI Number: | 1003404435 |
| Provider Name: | MARILYN KNUTSON |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/31/2020 |
| Last Updated: | 12/31/2020 |
Provider Practice Location
316 12TH ST NE
DEVILS LAKE
ND
583011829
Practice Location Phone/Fax
| Phone: | 7013512013 |
| Fax: |
Provider Mailing Location
316 12TH ST NE
DEVILS LAKE
ND
583011829
Provider Mailing Phone/Fax
| Phone: | 7013512013 |
| Fax: |