Individual
BETTY MACLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 S MAIN ST, POPLAR BLUFF, MO 63901-5843
(573) 686-5090
Mailing address
PO BOX 107, POPLAR BLUFF, MO 63902-0107
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2014031624
MO
Other
Enumeration date
09/09/2014
Last updated
10/23/2014
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