Individual
TERESITA I MANUBAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1312 1ST ST, KENNETT, MO 63857-2526
(573) 888-1224
(573) 888-3046
Mailing address
1312 1ST ST, KENNETT, MO 63857-2526
(573) 888-1224
(573) 888-3046
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MDR6794
MO
Other
Enumeration date
05/31/2005
Last updated
07/08/2007
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