Individual
MISS SIERRA ROSE TIOKASIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10 S RIVER RD, FORT YATES, ND 58538
(701) 854-3831
Mailing address
PO BOX 212, MC LAUGHLIN, SD 57642-0212
(701) 854-3831
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L17801
ND
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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