Search › Missouri › 106S00000X
Tequila Junior
NPI 1770384109 · on the registry since 2025
Practice
- Address
- 915 Missouri 84
Caruthersville, MO 63830 - Phone
- (573) 333-5875
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Sex
- Female
- Record last updated
- 2025-03-21
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