Individual
LATOYA ALECIA SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
300 S BYRON BLVD, CHAMBERLAIN, SD 57325-9741
(605) 234-6518
Mailing address
300 S BYRON BLVD, CHAMBERLAIN, SD 57325-9741
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R054136
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
NA
—
Enumeration date
03/10/2021
Last updated
03/10/2021
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