Individual
SARAH LEANNE TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 N 2ND ST, PIEDMONT, MO 63957-1301
(573) 223-7649
Mailing address
306 N 2ND ST, PIEDMONT, MO 63957-1301
(573) 223-7649
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2012027446
MO
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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