Individual
MRS. STACEY DARLENE PARRENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2818 WILLOW AVE, RAPID CITY, SD 57701-7240
(605) 786-7106
Mailing address
2818 WILLOW AVE, RAPID CITY, SD 57701-7240
(605) 786-7106
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P010406
SD
Other
Enumeration date
08/28/2010
Last updated
08/28/2010
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