Individual
KRISTA LYNN CONDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
916 SMITH ST, DEXTER, MO 63841-2737
(573) 624-6937
Mailing address
PO BOX 459, FARMINGTON, MO 63640-0459
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2011024571
MO
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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