PIBI JEAN BOUDA

SAINT LOUIS, MO
NPI1235836982
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: MO  2023005006)
Enumeration Date2023-02-13
Last Update Date2023-04-26
Business Address
PIBI JEAN BOUDA
3320 MARSHALL AVE
SAINT LOUIS, MO 63114-4344
Phone number: 314-489-5537
Mailing Address
PIBI JEAN BOUDA
3320 MARSHALL AVE
SAINT LOUIS, MO 63114-4344
Phone number: 314-489-5537
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