Individual
MS. TAMMY LYNN BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10600 LEWIS AND CLARK BLVD, SAINT LOUIS, MO 63136-6005
(314) 340-6389
Mailing address
1724 EDMAR LN, SAINT LOUIS, MO 63138-1714
(314) 741-6623
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
039187
MO
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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