Individual
MARION AMELIA CLEEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 HIGHWAY 84 W, CARUTHERSVILLE, MO 63830-8113
(573) 333-5875
Mailing address
915 HIGHWAY 84 W, CARUTHERSVILLE, MO 63830-8113
(573) 333-5875
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
79110
TN
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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