Individual
LINDA JANE SANDVIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN CDE
Contact information
Practice address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2201
(605) 355-2403
Mailing address
4810 POWDERHORN DR, RAPID CITY, SD 57702-4801
(605) 342-8450
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
R017831
SD
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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