Individual
REBA V. ERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1 S KEENE ST, COLUMBIA, MO 65201-7199
(573) 443-2402
(573) 443-0574
Mailing address
1 S KEENE ST, P.O. BOX O, COLUMBIA, MO 65201-7199
(573) 443-2402
(573) 443-0574
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
120865
MO
Other
Enumeration date
08/15/2007
Last updated
07/30/2008
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