KATHLEEN CARROLL

SAINT LOUIS, MO
NPI1245624675
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MO  2007016329)
Enumeration Date2015-03-24
Last Update Date2015-03-24
Business Address
Mrs. KATHLEEN CARROLL COTA/L
11960 WESTLINE INDUSTRIAL DR 201
SAINT LOUIS, MO 63146-3209
Phone number: 314-819-0480
Mailing Address
Mrs. KATHLEEN CARROLL COTA/L
335 FOREST GROVE CT
SAINT PETERS, MO 63304-6783
Phone number: 636-441-5303