Individual
JOBETH ANN SWALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
EAST HIGHWAY 18, PINE RIDGE, SD 57770
(605) 867-5131
Mailing address
EAST HIGHWAY 18, PINE RIDGE, SD 57770
(605) 867-5131
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
R039704
SD
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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