LARISSA DIMELO VENHAUS

SAINT LOUIS, MO
NPI1609475425
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: MO  2020026044)
Enumeration Date2020-10-22
Last Update Date2020-10-22
Business Address
LARISSA DIMELO VENHAUS WHNP
4251 FOREST PARK AVE
SAINT LOUIS, MO 63108-2810
Phone number: 314-531-7526
Mailing Address
LARISSA DIMELO VENHAUS WHNP
1143 DAVE KAY ST
BREESE, IL 62230-3613
Phone number: 618-207-9986
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