STEPHANIE NUGRAHENNIE

SAINT LOUIS, MO
NPI1669241774
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date2023-12-29
Last Update Date2023-12-29
Business Address
STEPHANIE NUGRAHENNIE MD
6642 CLAYTON RD # 403
SAINT LOUIS, MO 63117-1602
Phone number: 314-332-7754
Mailing Address
STEPHANIE NUGRAHENNIE MD
299 DEBALIVIERE AVE #311
SAINT LOUIS, MO 63112
Phone number: 314-332-7754
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