Individual
VICKY BIRDSONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1597 NORTH HWY 63, HOUSTON, MO 65483
(417) 967-2887
Mailing address
PO BOX 506, PARK HILLS, MO 63601-0506
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2009023157
MO
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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