Rikki Rae Fasthorse, RN
NPI #1003028598 in Eagle Butte, South Dakota
Provider Information
- NPI Number
- 1003028598
- Entity Type
- Individual
- Name
- Rikki Rae Fasthorse, RN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Credential
- RN
- Enumeration Date
- May 4, 2007
- Last Updated
- Oct 27, 2009
Practice Location
- Address
- 317 MAIN STREET
- City
- Eagle Butte
- State
- South Dakota
- ZIP Code
- 57625-1012
- Phone
- (605) 964-3007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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