Individual
DIANNA S JEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3002 COUNTY ROAD 377, KOSHKONONG, MO 65692-7880
(417) 655-4501
Mailing address
3002 COUNTY ROAD 377, KOSHKONONG, MO 65692-7880
(417) 655-4501
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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