NICK BALARAMA RODRIGUEZ

SAINT LOUIS, MO
NPI1043997190
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: MO  pending)
Enumeration Date2023-06-30
Last Update Date2026-02-25
Business Address
Mr. NICK BALARAMA RODRIGUEZ AA
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141-8221
Phone number: 636-386-9224
Mailing Address
Mr. NICK BALARAMA RODRIGUEZ AA
800 BRADBURY DR SE STE 116
ALBUQUERQUE, NM 87106-4310
Phone number: