LISA MARIE MANTIA

CHESTERFIELD, MO
NPI1295924108
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: MO  2003018722)
Enumeration Date2007-10-16
Last Update Date2011-12-14
Business Address
MRS. LISA MARIE MANTIA FNP, BC
226 S WOODS MILL RD STE 37W
CHESTERFIELD, MO 63017-3662
Phone number: 314-523-5320
Mailing Address
MRS. LISA MARIE MANTIA FNP, BC
PO BOX 419161
CREVE COEUR, MO 63141-9161
Phone number: 314-523-5320
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