Individual
REBECCA MCCAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1542 SAINTE GENEVIEVE AVE, FARMINGTON, MO 63640-3454
(573) 576-5749
Mailing address
1542 SAINTE GENEVIEVE AVE, FARMINGTON, MO 63640-3454
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2017026409
MO
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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