Individual
JESSICA SITTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 29TH ST SE, WATERTOWN, SD 57201-9179
(605) 886-8419
Mailing address
1201 29TH ST SE, WATERTOWN, SD 57201-9179
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6318
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
12/16/2017
Last updated
12/16/2017
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