Individual
TOM JOSEPH MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
7827 HIGHWAY N STE 104, O FALLON, MO 63368-6704
(636) 377-1177
(636) 377-1911
Mailing address
7827 HIGHWAY N STE 104, O FALLON, MO 63368-6704
(636) 377-1177
(636) 377-1911
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
128361
MO
Other
Enumeration date
09/09/2016
Last updated
09/12/2016
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