FAISAL MATAR

SAINT LOUIS, MO
NPI1700423076
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MO  2019042838)
Enumeration Date2019-12-05
Last Update Date2019-12-05
Business Address
FAISAL MATAR
12855 N 40 DR
SAINT LOUIS, MO 63141-8622
Phone number: 636-851-7262
Mailing Address
FAISAL MATAR
12855 N 40 DR
SAINT LOUIS, MO 63141-8622
Phone number: 636-851-7262
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