Individual
VANESSA R ROPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
#9 VIBURNUM SHOPPING CENTER, VIBURNUM, MO 65566
(573) 244-5406
(573) 244-5590
Mailing address
405 SIXTH ST., FARMINGTON, MO 63640
(573) 756-5515
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
042776
MO
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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