Individual
TISHA ARLENE DOOLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
21410 S MCKEE LN, PLEASANT HILL, MO 64080-8622
(816) 520-1530
Mailing address
21410 S MCKEE LN, PLEASANT HILL, MO 64080-8622
(816) 520-1530
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2000165081
MO
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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