Individual
PATRICIA ANN GOODSHIELD OCEGUERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
100 LAKE TRAVERSE DR., SISSETON,, SD 57262-7046
(605) 698-7606
Mailing address
207 PRAIRIE AVENUE, ROSHOLT, SD 57260-2253
(605) 537-4304
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN05904
NV
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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