SHAWNY JERRETTA BLAKE

KENNETT, MO
NPI1013142207
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy237700000X Hearing Instrument Specialist
(Licence: MO  1003)
Enumeration Date2009-05-18
Last Update Date2009-05-18
Business Address
-- SHAWNY JERRETTA BLAKE BCHIS
913B SAINT FRANCIS ST
KENNETT, MO 63857-1779
Phone number: 573-888-9881
Mailing Address
-- SHAWNY JERRETTA BLAKE BCHIS
913B SAINT FRANCIS ST
KENNETT, MO 63857-1779
Phone number: 573-888-9881