Individual
JOHN VAVRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 W 22ND ST, SIOUX FALLS, SD 57105-1305
(605) 336-3230
Mailing address
1402 RIVER ASPEN RD, YANKTON, SD 57078-6868
(056) 232-2795
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R029387
SD
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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