Individual
PROF. MOSES NGUU IKIUGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
16 E BLOOMINGDALE ST, VERMILLION, SD 57069-3071
(605) 624-9352
Mailing address
16 E BLOOMINGDALE ST, VERMILLION, SD 57069-3071
(605) 624-9352
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0644
SD
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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