WETU WANAHCA LOCUST

PINE RIDGE, SD
NPI1174873251
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: SD  R040696)
Enumeration Date2012-09-14
Last Update Date2012-09-14
Business Address
-- WETU WANAHCA LOCUST RN
EAST HWY 18 1201
PINE RIDGE, SD 57770
Phone number: 605-867-5131
Mailing Address
-- WETU WANAHCA LOCUST RN
PO BOX 165 3 MOCCASIN PARK
PINE RIDGE, SD 57770-0165
Phone number: 605-441-0544