Individual
JUANITA LIND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
.24276 166TH AIRPORT RD., 24276 166TH AIRPORT RD., EAGLE BUTTE, SD 57625
(605) 964-7724
(605) 964-0545
Mailing address
24276 AIRPORT RD,, 24276 AIRPORT RD., EAGLE BUTTE, SD 57625
(605) 964-7724
(605) 964-0545
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A009692
SD
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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