Individual
RILEY QUINN LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1322 LOGANS LAKE RD, BOONVILLE, MO 65233-2785
(660) 888-2676
Mailing address
1322 LOGANS LAKE RD, BOONVILLE, MO 65233-2785
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
03/01/2020
Last updated
03/01/2020
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