REBECCA THERESA MEDLOCK

FENTON, MO
NPI1023632932
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: MO  2019029631)
Enumeration Date2020-06-05
Last Update Date2020-07-08
Business Address
REBECCA THERESA MEDLOCK AGACNP-BC
736 MARCO VALLEY CT
FENTON, MO 63026-5318
Phone number: 314-413-2187
Mailing Address
REBECCA THERESA MEDLOCK AGACNP-BC
736 MARCO VALLEY CT
FENTON, MO 63026-5318
Phone number: 314-413-2187
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