Individual
SARAH JESSIE VACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 W 39TH ST, SIOUX FALLS, SD 57105-5732
(402) 709-2651
Mailing address
4408 S VISTA LN, SIOUX FALLS, SD 57105-6860
(402) 709-2651
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
L-311261
SD
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
R041377
SD
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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