Individual
MRS. JOAN ELIZABETH WHITLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFM
Contact information
Practice address
1185 COUNTY ROAD 601, JACKSON, MO 63755-7793
(573) 225-4490
Mailing address
1185 COUNTY ROAD 601, JACKSON, MO 63755-7793
(573) 225-4490
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CFM01979
MO
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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