JAN MICOTTO

SAINT LOUIS, MO
NPI1780632547
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  081970)
Enumeration Date2006-05-04
Last Update Date2008-02-19
Business Address
-- JAN MICOTTO CRNA
3015 N BALLAS RD
SAINT LOUIS, MO 63131-2329
Phone number: 314-996-5330
Mailing Address
-- JAN MICOTTO CRNA
3015 N BALLAS RD
SAINT LOUIS, MO 63131-2329
Phone number: 314-996-5330
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