Individual
BRENDA L LAFOLLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6350
(816) 271-6753
Mailing address
3916 DUNCAN STREET, ST JOSEPH, MO 64507-1930
(816) 456-1600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
124496
MO
Other
Enumeration date
03/14/2006
Last updated
10/09/2024
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