Individual
SARA ELIZABETH SCHALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1316 COPPERDALE DR, RAPID CITY, SD 57703-4717
(209) 233-2337
Mailing address
1316 COPPERDALE DR, RAPID CITY, SD 57703-4717
(209) 233-2337
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P011973
SD
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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