Tommie Dale
Registered Nurse, Home Health in Florissant, MO. Individual provider (NPI-1).
NPI number1861995136
StatusActive
Last updated in NPPESMar 13, 2018
Details
- NPI
- 1861995136
- Entity type
- Individual (NPI-1)
- Name
- Tommie Dale
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 13, 2018
- Last updated
- Mar 13, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WH0200X | Registered Nurse, Home Health | 2007024069 | MO | Yes |
Practice location
3834 Kentucky Derby DrFlorissant, MO 63034-3323
Phone 314-276-8596
Mailing address
3834 Kentucky Derby DrFlorissant, MO 63034-3323
Phone 314-276-8596
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Other Home Health Registered Nurse providers in Florissant, MO
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All 14 Home Health Registered Nurse providers in Florissant · All 2,275 providers in Florissant
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