Individual
MISS HAYLEY MARIE BRUNSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
EAST HWY 18, PINE RIDGE, SD 57770
(605) 867-5131
Mailing address
PO BOX 86, PINE RIDGE, SD 57770-0086
(605) 454-8032
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R037156
SD
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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