Individual
ANGELA MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 HWY V V, KENNETT, MO 63857
(573) 888-0642
(573) 888-8833
Mailing address
935 HWY V V, KENNETT, MO 63857
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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