MELISSA KAY WALLIS

SAINT LOUIS, MO
NPI1346705993
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MO  2019005399)
Enumeration Date2019-02-07
Last Update Date2021-11-15
Business Address
Ms. MELISSA KAY WALLIS AGNP
4921 PARKVIEW PL DIV NEURO SURG, STE 6B/6C
SAINT LOUIS, MO 63110-1032
Phone number: 314-362-3577
Mailing Address
Ms. MELISSA KAY WALLIS AGNP
660 S EUCLID AVE CB 8057
SAINT LOUIS, MO 63110-1010
Phone number: 314-747-6174
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