Tina Cole
Community Health Worker in Festus, MO. Individual provider (NPI-1).
NPI number1629620182
StatusActive
Last updated in NPPESJul 15, 2019
Details
- NPI
- 1629620182
- Entity type
- Individual (NPI-1)
- Name
- Tina Cole
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2019
- Last updated
- Jul 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
227 Main StFestus, MO 63028-1952
Phone 636-931-2700 · Fax 636-931-5304
Mailing address
227 Main StFestus, MO 63028-1952
Phone 636-931-2700 · Fax 636-931-5304
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