Individual
MRS. ALECIA MENGWASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1306 W MAIN ST, JEFFERSON CITY, MO 65109-1356
(573) 644-2800
Mailing address
1306 W MAIN ST, JEFFERSON CITY, MO 65109-1356
(575) 644-6388
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2006013111
MO
Other
Enumeration date
07/05/2021
Last updated
07/05/2021
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