WANDA JEAN DALLY

WAGNER, SD
NPI1740497775
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy246QM0706X Specialist/Technologist, Pathology Medical Technologist
(Licence: SD  185598)
Enumeration Date2007-05-17
Last Update Date2007-07-09
Business Address
WANDA JEAN DALLY MT
111 WASHINGTON AVE NW
WAGNER, SD 57380
Phone number: 605-384-3621
Mailing Address
WANDA JEAN DALLY MT
111 WASHINGTON AVE NW
WAGNER, SD 57380
Phone number: 605-384-3621