Individual
MS. MYRA LYN MENJOULET
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1105 W LIBERTY ST, SUITE 3002, FARMINGTON, MO 63640-1921
(573) 756-9107
(573) 756-9630
Mailing address
1105 W LIBERTY ST, SUITE 3002, FARMINGTON, MO 63640-1921
(573) 756-9107
(573) 756-9630
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
077826
MO
Other
Enumeration date
11/16/2005
Last updated
07/08/2007
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