Individual
LESLEY RUTH WOODEN KNIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN-RN
Contact information
Practice address
265 TRENTON LN, BOX ELDER, SD 57719-9714
(605) 545-2729
Mailing address
265 TRENTON LN, BOX ELDER, SD 57719-9714
(605) 545-2729
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R059909
SD
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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