Provider Demographics
NPI:1285231407
Name:RINGUETTE, UNSONG
Entity Type:Individual
Prefix:
First Name:UNSONG
Middle Name:
Last Name:RINGUETTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1608 16TH ST NW
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58703-1114
Mailing Address - Country:US
Mailing Address - Phone:701-839-5646
Mailing Address - Fax:701-839-5646
Practice Address - Street 1:1608 16TH ST NW
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58703-1114
Practice Address - Country:US
Practice Address - Phone:701-839-5646
Practice Address - Fax:701-839-5646
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility