Individual
ASHLEY J DEGRAFFENREID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
17571 N DAM ACCESS RD, WARSAW, MO 65355-6396
(660) 428-1280
Mailing address
21436 DWYER RD, WARSAW, MO 65355-4144
(660) 723-4939
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2014002402
MO
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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