Individual
TYLA-ANN MARIE KOSMICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 COLLEGE HL, CANTON, MO 63435-1257
(573) 288-6000
Mailing address
604 N 12TH ST APT 1, CANTON, MO 63435-1071
(385) 895-7108
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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