Polly Jo Leisure, REGISTERED NURSE
NPI #1407486590 in Eagle Butte, South Dakota
Provider Information
- NPI Number
- 1407486590
- Entity Type
- Individual
- Name
- Polly Jo Leisure, REGISTERED NURSE
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Credential
- REGISTERED NURSE
- Enumeration Date
- Jan 17, 2020
- Last Updated
- Jan 17, 2020
Practice Location
- Address
- 24276 AIRPORT RD
- City
- Eagle Butte
- State
- South Dakota
- ZIP Code
- 57625-8021
- Phone
- (605) 964-7724
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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