ERITREA HABTEMARIAM

SAINT LOUIS, MO
NPI1578372611
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MO  2024095163)
Enumeration Date2025-01-03
Last Update Date2025-01-07
Business Address
ERITREA HABTEMARIAM
5217 DELMAR BLVD
SAINT LOUIS, MO 63108-1027
Phone number: 314-853-2890
Mailing Address
ERITREA HABTEMARIAM
5217 DELMAR BLVD
SAINT LOUIS, MO 63108-1027
Phone number: 314-853-2890