NPI 1336328574
Iva Jean Bolman, LPN
Practice location
- Address
- 601 Gall St., Lower Brule, SD 57548
- Phone
- (605) 473-0852
- Mailing address
- Box 18 Rr 8 Hc5, Reliance, SD 57369
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1336328574
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Oct 2007
- Record last updated
- 24 Oct 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.