PAULINE A LARVIE

RAPID CITY, SD
NPI1144598319
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: SD  P010270)
Enumeration Date2011-12-02
Last Update Date2011-12-02
Business Address
-- PAULINE A LARVIE LPN
3200 CANYON LAKE DR
RAPID CITY, SD 57702-8114
Phone number: 605-355-2500
Mailing Address
-- PAULINE A LARVIE LPN
3200 CANYON LAKE DR. RAPID CITY IHS HOSPITAL
RAPID CITY, SD 57702
Phone number: 605-335-2500