Individual
MRS. BONNIE LEE WIPF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8513 STABLES DR., PIEDMONT, SD 57769
(605) 787-9378
Mailing address
8513 STABLES DRIVE, PIEDMONT, SD 57769
(605) 787-9378
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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