Individual
TRINA A HERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 VIRGINIA AVENUE, COLUMBIA, MO 65212-0001
(573) 882-7497
(573) 882-5847
Mailing address
1923 DEVONSHIRE DR, COLUMBIA, MO 65203-7006
(573) 268-9730
Taxonomy
Speciality
Code
Description
License number
State
246ZX2200X
Orthopedic Assistant
Primary
18-0414
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18-0414
NBCOT
MO
Enumeration date
05/25/2018
Last updated
05/25/2018
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