Individual
MRS. BRENDA DELORES TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 686-4151
Mailing address
3753 WILCOX RD, POPLAR BLUFF, MO 63901-2250
(157) 377-8028
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
2005000247
MO
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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