Individual
AMANDA SKAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
227 MAIN ST, FESTUS, MO 63028-1952
(636) 931-2700
(636) 931-5304
Mailing address
227 MAIN ST, FESTUS, MO 63028-1952
(636) 931-2700
(636) 931-5304
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2008020815
MO
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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