Jaeshaun Renville
NPI #1598120818 in Sisseton, South Dakota
Provider Information
- NPI Number
- 1598120818
- Entity Type
- Individual
- Name
- Jaeshaun Renville
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Dec 31, 2015
- Last Updated
- Dec 31, 2015
Practice Location
- Address
- 100 LAKE TRAVERSE DR
- City
- Sisseton
- State
- South Dakota
- ZIP Code
- 57262-7046
- Phone
- (605) 698-7606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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