Individual
CARLA TIGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4470 STINSON MDWS, FULTON, MO 65251-3694
(573) 424-2883
Mailing address
4470 STINSON MDWS, FULTON, MO 65251-3694
(573) 424-2883
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MO
Other
Enumeration date
04/23/2017
Last updated
04/23/2017
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