Individual
MRS. LARANDA MICHELLE GATTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
946 E REED ST, HAYTI, MO 63851-1243
(573) 359-6182
Mailing address
809 VINE ST, KENNETT, MO 63857-1761
(573) 344-1291
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2008024023
MO
Other
Enumeration date
02/05/2013
Last updated
05/06/2026
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