| Iva Jean Bolman, LPN | |
|
601 Gall St., Lower Brule, SD 57548 | |
| (605) 473-0852 | |
| Not Available |
| Full Name | Iva Jean Bolman |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 601 Gall St., Lower Brule, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336328574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 003859 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Iva Jean Bolman, LPN Box 18, Rr 8 Hc5, Reliance, SD 57369 Ph: (605) 473-0852 | Iva Jean Bolman, LPN 601 Gall St., Lower Brule, SD 57548 Ph: (605) 473-0852 |
Desiree Nolene Laroche, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 601 Gall St., Lower Brule, SD 57548 Phone: 605-473-5526 Fax: 605-473-5677 | |
Miss Georgia Wilson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 601 Gall St., Lower Brule, SD 57548 Phone: 605-473-8243 Fax: 605-473-0607 |