Individual
BILLIE JO ST ORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1553 380TH AVE, BRYANT, IA 52727-9612
(563) 349-4819
Mailing address
1553 380TH AVE, BRYANT, IA 52727-9612
(563) 349-4819
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
117992
IA
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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