SearchMissouri224Z00000X

Brooke Washam

NPI 1568811982 · on the registry since 2016

Practice

Address
30325 Fine Dr
Laclede, MO 64651
Phone
(660) 734-8196

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Also registered as
224Z00000X
224Z00000X
224Z00000X
Licence states on file
MO, TX, IA, NE
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-06-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri