Abra Payne, LPN

NPI #1598937211 in Columbia, Missouri

Provider Information

NPI Number: 1598937211
Entity Type: Individual
Name: Abra Payne, LPN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician
Credential: LPN
Enumeration Date: Apr 2, 2008
Last Updated: Apr 2, 2008

Practice Location

Address: 705 OLD 63 S
City: Columbia
State: Missouri
ZIP Code: 65201-6065
Phone: (573) 823-8986

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Licensed Practical Nurse	164W00000X
Driver	172A00000X
Technician	374700000X	Primary

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