DIANNE LYNN HALLOCK

SEDALIA, MO
NPI1326245911
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2006031855)
Enumeration Date2007-06-28
Last Update Date2007-07-08
Business Address
-- DIANNE LYNN HALLOCK FNP
601 E 14TH ST
SEDALIA, MO 65301-5972
Phone number: 660-286-8833
Mailing Address
-- DIANNE LYNN HALLOCK FNP
25955 TRINCHERA RD
EDWARDS, MO 65326
Phone number: 660-438-5722