AMANDA DIERCKS

SAINT LOUIS, MO
NPI1679946156
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MO  2015039589)
Enumeration Date2015-11-05
Last Update Date2015-11-05
Business Address
-- AMANDA DIERCKS N.P.
5347 GLENCULLEN WAY
SAINT LOUIS, MO 63128-4229
Phone number: 314-488-4289
Mailing Address
-- AMANDA DIERCKS N.P.
5347 GLENCULLEN WAY
SAINT LOUIS, MO 63128-4229
Phone number: 314-488-4289
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