JAESHAUN RENVILLE

SISSETON, SD
NPI1598120818
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: SD  P011701)
Enumeration Date2015-12-31
Last Update Date2015-12-31
Business Address
-- JAESHAUN RENVILLE
100 LAKE TRAVERSE DR
SISSETON, SD 57262-7046
Phone number: 605-698-7606
Mailing Address
-- JAESHAUN RENVILLE
20 7TH AVE W
SISSETON, SD 57262-1753
Phone number: 605-268-2331
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