Individual
DARLA SNYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0471
Mailing address
20214 HYATT LN, SAINT ROBERT, MO 65584-9448
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
183392
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183392
LICENSE
NC
Enumeration date
03/13/2017
Last updated
03/13/2017
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