STASIA ELLEN IWUC

SIOUX FALLS, SD
NPI1396489779
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy222Z00000X Orthotist
Additional Taxonomies224P00000X Prosthetist
Enumeration Date2022-04-22
Last Update Date2022-06-02
Business Address
STASIA ELLEN IWUC CPO
1020 W 18TH ST
SIOUX FALLS, SD 57104-4707
Phone number: 605-444-9718
Mailing Address
STASIA ELLEN IWUC CPO
1020 W 18TH ST
SIOUX FALLS, SD 57104-4707
Phone number: 605-444-9718
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