NPI 1265071864

Mary Jane Sansom

Practitioner Other Technician Farmington, MO

Practice location

Address: 1085 Maple St, Farmington, MO 63640-1955
Phone: (573) 756-5353
Fax: (573) 756-4557

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Missouri →

Registry record

NPI: 1265071864
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Dec 2019
Record last updated: 30 Dec 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.