Individual
FUGUANA CAMELA CHINIKA HAGGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24634 RUSTLER LN, RICHLAND, MO 65556-7200
(908) 809-9233
Mailing address
2007 WHISPERING MEADOWS CT, COLUMBIA, MO 65202-2999
(908) 809-9233
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
10/27/2023
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