Individual
AMY MICHELLE DIFATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA,BA PSYCHOLOGY
Contact information
Practice address
10198 HIGHWAY D, VERSAILLES, MO 65084-4169
(660) 676-8756
(660) 337-6682
Mailing address
10198 HIGHWAY D, VERSAILLES, MO 65084-4169
(660) 676-8756
(660) 337-6682
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
465327627
MO
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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