Individual
MRS. EUNICE ROSE MONTREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
317 MAIN STREET, EAGLE BUTTE, SD 57625-0326
(160) 520-0201
Mailing address
PO BOX 326, EAGLE BUTTE, SD 57625-0326
(160) 520-0201
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
R028233
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R028233
NPI
SD
Enumeration date
09/12/2007
Last updated
09/12/2007
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