LEAH MAE PUSH

RAPID CITY, SD
NPI1467123711
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NE  23669)
Enumeration Date2021-09-27
Last Update Date2021-09-27
Business Address
LEAH MAE PUSH LPN
3200 CANYON LAKE DR
RAPID CITY, SD 57702-8114
Phone number: 605-355-2487
Mailing Address
LEAH MAE PUSH LPN
3200 CANYON LAKE DR
RAPID CITY, SD 57702-8114
Phone number: 605-355-2487