Individual
TARYN CHASING HAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
AIRPORT RD. 1012, EAGLE BUTTE, SD 57625
(605) 964-7724
(605) 964-0545
Mailing address
BOX 1012, EAGLE BUTTE, SD 57625
(605) 964-7724
(605) 964-0545
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A035165
SD
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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