TABITHA MIRANDA FAUST

THEODOSIA, MO
NPI1710718630
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
(Licence: MO  CPM24080529)
Enumeration Date2024-08-12
Last Update Date2024-08-12
Business Address
Ms. TABITHA MIRANDA FAUST CPM
459 COUNTY ROAD 917
THEODOSIA, MO 65761-6155
Phone number:
Mailing Address
Ms. TABITHA MIRANDA FAUST CPM
459 COUNTY ROAD 917
THEODOSIA, MO 65761-6155
Phone number: 417-255-6883