Individual
JODI LYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
410 E MONROE ST, RAPID CITY, SD 57701-1424
(605) 341-6448
(605) 341-2941
Mailing address
410 E MONROE ST, RAPID CITY, SD 57701-1424
(605) 341-6448
(605) 341-2941
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R046845
SD
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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