Individual
DARRELL DEWAYNE MEADOR SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
612 W STURDIVANT ST, ADVANCE, MO 63730-8065
(573) 321-0113
Mailing address
612 W STURDIVANT ST, ADVANCE, MO 63730-8065
(573) 321-0113
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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