Individual
TERESA LINNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E LIBERTY ST, MEXICO, MO 65265-2970
(660) 248-1445
Mailing address
209 N CHURCH ST, FAYETTE, MO 65248-1403
(660) 248-1445
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
625021803
—
MO
Enumeration date
09/30/2010
Last updated
09/30/2010
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