Individual
MAKENZIE RUTHANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 S SUMMIT AVE, SIOUX FALLS, SD 57105-2727
(605) 336-0503
Mailing address
2000 S SUMMIT AVE, SIOUX FALLS, SD 57105-2727
(605) 336-0503
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P013404
SD
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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