Individual
MRS. TUESDAY FLORENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 HIGHLAND DR, ROLLA, MO 65401-3609
(816) 509-0073
Mailing address
1312 HIGHLAND DR, ROLLA, MO 65401-3609
(816) 509-0073
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
13014
MO
Other
Enumeration date
10/04/2020
Last updated
10/04/2020
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