Individual
DENISE KOVACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 1 ST STREET, WANBLEE, SD 57577
(605) 462-6155
(605) 462-6631
Mailing address
PO BOX 10, WANBLEE, SD 57577-0010
(951) 533-9430
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
716638
CA
163WG0000X
General Practice Registered Nurse
716638
CA
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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