Individual
MRS. ALICIA EAGLEBURGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RMA
Contact information
Practice address
1919 FITZ LN, NIXA, MO 65714-8459
(417) 233-1262
(417) 233-1260
Mailing address
1919 FITZ LN, NIXA, MO 65714-8459
(417) 233-1262
(417) 233-1260
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
2847341
MO
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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