Individual
DAYLYNN MECHELLE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 LANTON RD, WEST PLAINS, MO 65775-3854
(417) 256-2570
Mailing address
1015 LANTON RD, WEST PLAINS, MO 65775-3854
(417) 256-2570
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65596877
—
MO
Enumeration date
01/19/2021
Last updated
01/19/2021
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