Individual
WILLOW A JELSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2501 W 22ND ST, SIOUX FALLS, SD 57105-1305
(605) 336-3230
Mailing address
2501 W 22ND ST, SIOUX FALLS, SD 57105-1305
(605) 336-3230
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P011357
SD
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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