Individual
MRS. JESSICA MARIE MOUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10 STANDING ROCK AVE, FORT YATES, ND 58538-8528
(701) 854-3831
Mailing address
816 10TH AVE W, MOBRIDGE, SD 57601-1942
(605) 848-4382
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P013027
SD
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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