Individual
JESIKA GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
109 AIRPORT PLACE, BUFFALO, SD 57720-0103
(605) 200-9110
Mailing address
109 AIRPORT PLACE, BUFFALO, SD 57720-0103
(605) 200-9110
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P011510
SD
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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