Individual
MRS. PAIGE NICOLE WETTERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
705 E 2ND ST, HARTFORD, SD 57033-2391
(605) 528-3217
(605) 528-3219
Mailing address
705 E 2ND ST, PO BOX 730, HARTFORD, SD 57033-2391
(605) 528-3217
(605) 528-3219
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
74457-0
SD
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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