Provider First Line Business Practice Location Address:
100 LAKE TRAVERSE DRIVE
Provider Second Line Business Practice Location Address:
WWKMHCC INDIAN HEALTH SERVICE
Provider Business Practice Location Address City Name:
SISSETON
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57262
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
605-698-7606
Provider Business Practice Location Address Fax Number:
605-742-0182
Provider Enumeration Date:
07/26/2013