Individual
TESS KAMPWERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1410 N MARKET ST, SPARTA, IL 62286-2302
(618) 443-2436
Mailing address
601 E KEYS ST, MARISSA, IL 62257-2013
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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