Individual
MRS. TRACI ANNE BURKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA, BSHA/LTC
Contact information
Practice address
1000 E US HIGHWAY 54, SUITE D, CAMDENTON, MO 65020-6835
(573) 693-8437
Mailing address
PO BOX 676, CAMDENTON, MO 65020-0676
(573) 693-8437
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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