| 2 For Him, Llc | |
|
310 Route 66 E Waynesville MO 65583-2648 | |
| (573) 774-3833 | |
| Not Available |
| Full Name | 2 For Him, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 310 Route 66 E, Waynesville, Missouri |
| Authorized Official Name and Position | Gary Leroy Hackney (OWNER) |
| Authorized Official Contact | 5737743833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 2 For Him, Llc 310 Route 66 E Waynesville MO 65583-2648 Ph: (573) 774-3833 | 2 For Him, Llc 310 Route 66 E Waynesville MO 65583-2648 Ph: (573) 774-3833 |
| NPI Number | 1447873914 |
|---|---|
| Provider Enumeration Date | 05/19/2020 |
| Last Update Date | 05/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447873914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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