Individual
TESSA L CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2411 W CATALPA ST, SPRINGFIELD, MO 65807-1123
(417) 882-3455
Mailing address
900 E LAHARPE ST, KIRKSVILLE, MO 63501-4520
(660) 665-1962
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2020022952
MO
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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