Individual
WAYNETH MCCOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 N GRAND ST, SALEM, MO 65560-1344
(573) 729-4103
Mailing address
PO BOX 459, FARMINGTON, MO 63640-0459
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2008029929
MO
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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