NPI 1508292095

Shanda Rose Bragg, RDMS

Practitioner Other Technician Sioux Falls, SD

Practice location

Address: 6709 S Minnesota Ave Suite 203, Sioux Falls, SD 57108-2592
Phone: (605) 274-2525
Fax: (605) 274-0620

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence 2471S1302X (SD)

Other Technician, Other providers in South Dakota →

Registry record

NPI: 1508292095
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Sep 2013
Record last updated: 17 Sep 2013

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.