OPAL DEANNA DEAN

ROLLA, MO
NPI1841784204
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MO  036334)
Enumeration Date2018-06-19
Last Update Date2018-06-19
Business Address
OPAL DEANNA DEAN PN
1051 KINGSHIGHWAY ST STE 5
ROLLA, MO 65401-2981
Phone number: 573-364-8511
Mailing Address
OPAL DEANNA DEAN PN
PO BOX 459
FARMINGTON, MO 63640-0459
Phone number: