Individual
ALEXIS JORDAN BURTZLAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 720-7146
Mailing address
11912 WEISMAN RD, WHITEWOOD, SD 57793-5021
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P013425
SD
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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