Individual
ANGIE DENEIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7312 PINON JAY CIRCLE, RAPID CITY, SD 57702
(605) 920-9225
Mailing address
7312 PINON JAY CIR, RAPID CITY, SD 57702-9023
(605) 920-9225
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
SDLPNP009181
SD
Other
Enumeration date
07/07/2017
Last updated
07/21/2022
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