ANGELA LEE TABAKA

SAINT LOUIS, MO
NPI1891700217
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: MO  153779)
Enumeration Date2006-07-31
Last Update Date2007-07-08
Business Address
Ms. ANGELA LEE TABAKA ANP
3015 N BALLAS RD ST LOUIS
SAINT LOUIS, MO 63131-2329
Phone number: 314-996-5223
Mailing Address
Ms. ANGELA LEE TABAKA ANP
3015 N BALLAS RD ST LOUIS
SAINT LOUIS, MO 63131-2329
Phone number: 314-996-5223