Individual
JODI LIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
EAST HWY 18, PINE RIDGE, SD 57770
(605) 867-5131
Mailing address
PO BOX 1201, PINE RIDGE, SD 57770
(605) 867-5131
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
52341
NE
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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