Individual
FRANKIE LYNN ROUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
314 MAIN STREET, EAGLE BUTTE, SD 57625-1012
(605) 964-3004
Mailing address
314 MAIN STREET, EAGLE BUTTE, SD 57625-1012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R030437
SD
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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