Individual
TRISHA LYNNETTE EZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
22 GLORIA DR, UNION, MO 63084-2043
(417) 296-2072
Mailing address
22 GLORIA DR, UNION, MO 63084-2043
(417) 296-2072
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2015032408
MO
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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