Individual
JOAN MARIE CUMMISKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5 INDUSTRIAL DRIVE, CRYSTAL CITY, MO 63019
(636) 933-1200
Mailing address
PO BOX 193, CRYSTAL CITY, MO 63019-0193
(314) 808-1639
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
142865
MO
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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