ETHAN ALLAN HALLEM

SIOUX FALLS, SD
NPI1366127334
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy253Z00000X In Home Supportive Care
Enumeration Date2023-06-19
Last Update Date2023-06-19
Business Address
ETHAN ALLAN HALLEM
949 S BLAINE AVE APT 8
SIOUX FALLS, SD 57103-2861
Phone number: 605-321-0197
Mailing Address
ETHAN ALLAN HALLEM
949 S BLAINE AVE APT 8
SIOUX FALLS, SD 57103-2861
Phone number: 605-321-0197