Individual
PAM J HIETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-4920
(573) 651-1687
(573) 651-8734
Mailing address
1542 BRIARCLIFF DR, CAPE GIRARDEAU, MO 63701-2619
(573) 579-9144
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
116932
MO
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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