Individual
TONYA JEANENE TAJOURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRT
Contact information
Practice address
8012 GODFREY RD, GODFREY, IL 62035-2831
(618) 410-4620
Mailing address
8012 GODFREY RD, GODFREY, IL 62035-2831
(618) 410-4620
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
194005194
IL
227800000X
Certified Respiratory Therapist
Primary
2010008030
MO
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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