| |
890 Lazelle St, Sturgis, SD 57785-1611 | |
(605) 347-3616 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Dietitian, Registered |
Location | 890 Lazelle St, Sturgis, South Dakota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1164821450 | NPI | - | NPPES |
214794 | Other | SD | CERTIFICATE OF ACCREDITATION |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Po Box 9263, Belfast, ME 04915-9263 Ph: (605) 347-3616 | 890 Lazelle St, Sturgis, SD 57785-1611 Ph: (605) 347-3616 |