person
Wanda Jean Dally, MT
Medical Technologist in Wagner, South Dakota
NPI 1740497775

Wanda Jean Dally is a Medical Technologist based in Wagner, SD and is specialized in Medical Technologist. Wanda Jean Dally practices in Wagner, SD and has the professional credentials of MT. The NPI Number for Wanda Jean Dally is 1740497775 and holds a License No. 185598 (South Dakota).

The current practice location address for Wanda Jean Dally is 111 Washington Ave Nw, Wagner, SD and can be reached out via phone at 605-384-3621 and via fax at 605-384-3293.

Location: 111 Washington Ave Nw, Wagner, SD, 57380
person
Provider Profile Details
NPI Number
1740497775
Provider Name
Wanda Jean Dally
Credential
MT
Provider Entity Type
Individual
Gender
Female
Address
111 Washington Ave Nw, Wagner, SD, 57380
Phone Number
605-384-3621
Fax Number
605-384-3293
Provider Enumeration Date
05/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5540100 05 SD
5540030 05 SD
institution
Provider Business Practice Location Address Details
Address
111 Washington Ave Nw
City
State
Zip
57380
Phone Number
605-384-3621
Fax Number
605-384-3293
person
Provider Business Mailing Address Details
Address
111 Washington Ave Nw
City
State
Zip
57380
Phone Number
605-384-3621
Fax Number
605-384-3293
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Pathology
Speciality
Medical Technologist
Taxonomy
License No.
185598 (South Dakota)
Definition
Definition to come...
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