Individual
MR. ROBERT A CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
5080 DARO DR, FULTON, MO 65251-3871
(573) 592-7870
(888) 550-9399
Mailing address
602 MARKET ST # 335, FULTON, MO 65251-1928
(573) 592-7870
(888) 550-9399
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
130047B
MO
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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