Individual
CARMENCITA TAMPUS BAYLOSIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 CONNECTICUT AVE, APT D2, JOPLIN, MO 64804-1108
(417) 659-9656
Mailing address
2001 CONNECTICUT AVE, APT D2, JOPLIN, MO 64804-1108
(417) 659-9656
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2008027615
MO
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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