FAVIOLA MARIN

SAINT LOUIS, MO
NPI1598136350
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MO  2015035373)
Enumeration Date2015-10-19
Last Update Date2015-10-19
Business Address
-- FAVIOLA MARIN AGPCNP
916 OLIVE ST
SAINT LOUIS, MO 63101-1459
Phone number: 314-436-9300
Mailing Address
-- FAVIOLA MARIN AGPCNP
1805 OAK TREE ST
SAINT PETERS, MO 63376-6619
Phone number: 314-288-8317
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