Type 1 individualNPI 1932134442
MS. TINA R. DODSON L.P.N. / L.P.C.
164W00000X · RAYTOWN, MO
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 164W00000X | 164W00000X | Primary |
| 101YP2500X | 101YP2500X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s