Search › South Dakota › 363LF0000X
Holly Mattern
NPI 1922452531 · on the registry since 2016 · sole proprietor
Practice
- Address
- 24276 166th Street Airport Rd
Eagle Bute, SD 57625 - Phone
- (605) 964-0666
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
- Licence states on file
- SD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-08-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Dakota