Beverly Janis LPN

NPI 1053570341 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1053570341
Gender Female
Enumeration Date 06/03/2008
Last Updated 06/03/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
EAST HWY 18
PINE RIDGE SD, 57770, US
Phone (605) 867-5131
Fax
Business Location
EAST HWY 18
PINE RIDGE SD, 57770, US
Phone (605) 867-5131
Fax
Toxanomy
Taxonomy Code 164W00000X
License State South Dakota
License Number P006306
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According to our database, Beverly Janis LPN NPI is 1053570341, taxonomy code is 164W00000X and license number is P006306, license state is located at South Dakota. Beverly Janis LPN physically located at East Hwy 18, Pine Ridge SD, 57770. NPI Number Beverly Janis LPN has the Individual type.

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1053570341 NPI number is provided on an as is basis without warranty of any kind. 1053570341 is maintained by the National Plan & Provider Enumeration System. The contents of Beverly Janis LPN are for informational purposes only.