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 Date2023-06-30
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
339 CONSORT DR
BALLWIN, MO 63011-4439
Phone number: 636-386-9224
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