Individual
DEVANY LOREN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
24276 166TH AIRPORT RD, EAGLE BUTTE, SD 57625
(605) 964-7724
Mailing address
PO BOX 1049, EAGLE BUTTE, SD 57625-1049
(605) 200-2648
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A035166
SD
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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