TAYLOR RAE DEBERRY

KENNETT, MO
NPI1174010995
Former NameTAYLOR RAE ELLSWORTH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MO  2014027883)
Enumeration Date2018-04-17
Last Update Date2024-05-15
Business Address
Mrs. TAYLOR RAE DEBERRY LPN
925 HIGHWAY V V
KENNETT, MO 63857
Phone number: 573-888-5925
Mailing Address
Mrs. TAYLOR RAE DEBERRY LPN
925 HIGHWAY V V
KENNETT, MO 63857
Phone number: 573-888-5925