Individual
MADELINE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 S MAIN ST, KIRKSVILLE, MO 63501-3423
(714) 331-9072
Mailing address
308 S MAIN ST, KIRKSVILLE, MO 63501-3423
(714) 331-9072
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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