Individual
MRS. CHRISTY KAY WACHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
20 S SPRIGG ST, CAPE GIRARDEAU, MO 63703-6212
(573) 651-4177
(573) 651-3636
Mailing address
20 SOUTH SPRIGG, CAPE GIRARDEAU, MO 63703
(573) 651-4177
(573) 651-3636
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
042022
MO
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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