Mary C Mousseau RN

NPI 1649430836 - Registered Nurse - 163W00000X

NPI Details
NPI 1649430836
Gender Female
Enumeration Date 06/11/2008
Last Updated 06/11/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
E HWY 18
PINE RIDGE SD, 57770, US
Phone (605) 867-3145
Fax (605) 867-3307
Business Location
BOX 1201
HWY 18 EAST
PINE RIDGE SD, 57770, US
Phone (605) 867-3145
Fax (605) 867-3307
Toxanomy
Taxonomy Code 163W00000X
License State South Dakota
License Number R022007
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According to our database, Mrs. Mary C Mousseau RN NPI is 1649430836, taxonomy code is 163W00000X and license number is R022007, license state is located at South Dakota. Mary C Mousseau RN physically located at E Hwy 18, Pine Ridge SD, 57770. NPI Number Mary C Mousseau RN has the Individual type.

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1649430836 NPI number is provided on an as is basis without warranty of any kind. 1649430836 is maintained by the National Plan & Provider Enumeration System. The contents of Mary C Mousseau RN are for informational purposes only.