AMANDA L WICKER

EAST PRAIRIE, MO
NPI1265637987
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MO  2003028629)
Enumeration Date2007-06-21
Last Update Date2007-07-08
Business Address
-- AMANDA L WICKER LPN
106 S WASHINGTON ST
EAST PRAIRIE, MO 63845-1526
Phone number: 573-649-9411
Mailing Address
-- AMANDA L WICKER LPN
106 S WASHINGTON ST
EAST PRAIRIE, MO 63845-1526
Phone number: 573-649-9411