Individual
SARAH WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PN
Contact information
Practice address
1565 SAINTE GENEVIEVE AVE, FARMINGTON, MO 63640-3454
(573) 756-5749
Mailing address
PO BOX 459, FARMINGTON, MO 63640-0459
(573) 756-5749
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2015038661
MO
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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