Individual
KAIDENSE W LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
503 E POPLAR DR APT 109, CANTON, SD 57013-1036
(605) 839-6529
Mailing address
503 E POPLAR DR APT 109, CANTON, SD 57013-1036
(605) 839-6529
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A053021
SD
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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