BRENDAN WICAKASOTA WHITEBIRD

RAPID CITY, SD
NPI1467211318
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP2201X Registered Nurse, Ambulatory Care
(Licence: SD  R058640)
Enumeration Date2024-03-14
Last Update Date2024-03-14
Business Address
BRENDAN WICAKASOTA WHITEBIRD RN-BSN
3200 CANYON LAKE DR
RAPID CITY, SD 57702-8114
Phone number: 605-355-2500
Mailing Address
BRENDAN WICAKASOTA WHITEBIRD RN-BSN
3200 CANYON LAKE DR
RAPID CITY, SD 57702-8114
Phone number: 605-355-2500
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