Individual
MS. CATHERINE WHELIMINA WACONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
US HWY 18 PINERIDGE IHS, PINE RIDGE, SD 57770-1232
(605) 867-5138
Mailing address
PO BOX 1232, PHS ON36A, PINE RIDGE, SD 57770-1232
(605) 867-1633
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
44741
NE
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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