Individual
AMBER LACHELE THACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3710 S LENOIR ST, COLUMBIA, MO 65201-5463
(573) 876-5800
Mailing address
200 DOUGLAS DR, AUXVASSE, MO 65231-2139
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2015032798
MO
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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