Individual
MRS. TRACY LYNN PAWNEE LEGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4500 MAIN STREET EAST HIGHWAY 18, PINE RIDGE, SD 57770
(605) 867-3067
Mailing address
4500 MAIN STREET EAST HIGHWAY 18, PINE RIDGE, SD 57770
(605) 867-3067
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
R034156
SD
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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