Individual
NICOLE E. RAITHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S OWEN ST, CALIFORNIA, MO 65018-1150
(573) 796-2161
Mailing address
101 S OWEN ST, CALIFORNIA, MO 65018-1150
(573) 796-2161
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2015030424
MO
Other
Enumeration date
09/24/2015
Last updated
12/02/2015
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