Individual
COLLEEN R HOHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
43048 186TH ST, WILLOW LAKE, SD 57278-5418
(605) 881-2442
Mailing address
400 GARFIELD AVE, WILLOW LAKE, SD 57278-2322
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R045455
SD
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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