TABBATHA ANN RUNNER

FORT LEONARD WOOD, MO
NPI1376134700
Former NameTABBATHA ANN PEMBERTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WC0400X Registered Nurse Case Management
(Licence: MO  2012007205)
Enumeration Date2021-01-28
Last Update Date2021-01-28
Business Address
TABBATHA ANN RUNNER RN
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-9098
Phone number: 573-596-2560
Mailing Address
TABBATHA ANN RUNNER RN
32725 HIGHWAY 17
LAQUEY, MO 65534-7672
Phone number: 573-855-5912