Individual
JOHNNA PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
2017002215
Contact information
Practice address
704 ROUTE 66 W STE 200, WAYNESVILLE, MO 65583-8328
(573) 774-3121
(573) 744-2235
Mailing address
2007 FORUM DR APT H, ROLLA, MO 65401-4596
(573) 774-3121
(573) 744-2235
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2017002215
MO
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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