MARY MARTIN

SAINT LOUIS, MO
NPI1275060907
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MO  2017008673)
Enumeration Date2017-05-12
Last Update Date2017-05-12
Business Address
-- MARY MARTIN AGACNP-BC
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8221
Phone number: 636-237-4132
Mailing Address
-- MARY MARTIN AGACNP-BC
615 SOUTH NEW BALLAS
ST. LOUIS, MO 63143
Phone number: 314-974-6874
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