Individual
AMELIA SHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
141 COMMUNICATION DR, HANNIBAL, MO 63401-3670
(573) 603-1460
Mailing address
118 N 2ND ST STE 200, SAINT CHARLES, MO 63301-2894
(636) 224-1210
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
020015213
IL
124Q00000X
Dental Hygienist
Primary
2017005949
MO
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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