Individual
ANN MAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRD
Contact information
Practice address
315 MAIN ST., EAGLE BUTTE, SD 57625-0860
(605) 964-8000
(605) 964-1118
Mailing address
PO BOX 860, EAGLE BUTTE, SD 57625-0860
(605) 964-8000
(605) 964-1118
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0325
SD
Other
Enumeration date
07/20/2006
Last updated
08/22/2008
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