NPI 1053964478

Tonya Renee Bridges

Practitioner Peer Specialist Kennett, MO

Practice location

Address: 925 Highway Vv, Kennett, MO 63857
Phone: (573) 888-5925

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1053964478
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jul 2019
Record last updated: 24 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.