VERGENA RAEONDA BALLENGER

POPLAR BLUFF, MO
NPI1245584762
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2012-11-06
Last Update Date2012-11-06
Business Address
-- VERGENA RAEONDA BALLENGER
3001 WARRIOR LN
POPLAR BLUFF, MO 63901-8685
Phone number: 573-686-1200
Mailing Address
-- VERGENA RAEONDA BALLENGER
3001 WARRIOR LN
POPLAR BLUFF, MO 63901-8685
Phone number: 573-686-1200