JODY LYNN BALCOM-HALL

RAPID CITY, SD
NPI1720418924
Other NameJODY LYNN BALCOM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: SD  SD-LPN P006382)
Enumeration Date2013-11-25
Last Update Date2013-11-25
Business Address
-- JODY LYNN BALCOM-HALL LPN
111 NORTH ST
RAPID CITY, SD 57701-1163
Phone number: 605-343-0650
Mailing Address
-- JODY LYNN BALCOM-HALL LPN
350 ELK ST
RAPID CITY, SD 57701-7351
Phone number: 605-343-7262