LARISSA DE SOUZA

SAINT LOUIS, MO
NPI1801683669
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: MO  2026021052)
Enumeration Date2025-04-23
Last Update Date2026-07-05
Business Address
LARISSA DE SOUZA MD
4901 FOREST PARK AVE
SAINT LOUIS, MO 63108-1495
Phone number: 314-273-3376
Mailing Address
LARISSA DE SOUZA MD
1717 OLIVE ST APT 423
SAINT LOUIS, MO 63103-1774
Phone number: