CHRISTINA MARIE IVY

O FALLON, MO
NPI1104394899
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: MO  2018040232)
Enumeration Date2018-11-12
Last Update Date2018-11-12
Business Address
MRS. CHRISTINA MARIE IVY FNP-C
2765 RED CEDAR PARC DR S
O FALLON, MO 63368-6609
Phone number: 636-248-8072
Mailing Address
MRS. CHRISTINA MARIE IVY FNP-C
2765 RED CEDAR PARC DR S
O FALLON, MO 63368-6609
Phone number: 636-248-8072
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