Individual
DELOROS E WACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1410 W 25TH ST, SIOUX FALLS, SD 57105-1552
(605) 334-2696
(605) 339-9944
Mailing address
1410 W 25TH ST, SIOUX FALLS, SD 57105-1552
(605) 334-2696
(605) 339-9944
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R012816
SD
Other
Enumeration date
08/12/2005
Last updated
07/08/2007
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