NPI 1538715248

Octavia Louise McQuitty, OCTAVIA

Practitioner Adult Companion Fayette, MO

Practice location

Address: 504 Rocheport St, Fayette, MO 65248-1290
Phone: (660) 888-0669

Registered specialties

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X Licence NONE

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Registry record

NPI: 1538715248
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Aug 2019
Record last updated: 18 Aug 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.