MELLISSA JO VIG

EAGLE BUTTE, SD
NPI1982118436
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WE0003X Registered Nurse, Emergency
(Licence: SD  R036323)
Enumeration Date2017-11-20
Last Update Date2017-11-20
Business Address
MELLISSA JO VIG
24276 AIRPORT RD. 166TH STREET
EAGLE BUTTE, SD 57626
Phone number: 605-964-7724
Mailing Address
MELLISSA JO VIG
18138 OPAL RD
OPAL, SD 57758-7060
Phone number: