ANGELIA MACK

SAINT LOUIS, MO
NPI1871901967
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: MO  1999135071)
Enumeration Date2014-08-01
Last Update Date2014-08-01
Business Address
-- ANGELIA MACK
1907 1/2 SEMPLE AVE
SAINT LOUIS, MO 63112-4307
Phone number: 314-303-9901
Mailing Address
-- ANGELIA MACK
1907 1/2 SEMPLE AVE
SAINT LOUIS, MO 63112-4307
Phone number: 314-303-9901