Individual
JAMES WESLEY SITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNFA
Contact information
Practice address
2106 HICKORY SUMMIT CT, WILDWOOD, MO 63011-5402
(636) 405-2656
Mailing address
1126 ECKO LN, WASHINGTON, MO 63090-6532
(636) 405-2656
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
126540
MO
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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