SELENA LAN VANAPRUKS

SAINT LOUIS, MO
NPI1932025533
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MO  2026029750)
Enumeration Date2026-06-26
Last Update Date2026-06-26
Business Address
SELENA LAN VANAPRUKS MD
1 CHILDRENS PL
SAINT LOUIS, MO 63110-1081
Phone number: 314-454-6006
Mailing Address
SELENA LAN VANAPRUKS MD
1 CHILDRENS PL
SAINT LOUIS, MO 63110-1081
Phone number: 314-454-6006