MIA DAVETA

SAINT PETERS, MO
NPI1932896586
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MO  2023004707)
Enumeration Date2023-04-21
Last Update Date2023-04-21
Business Address
MIA DAVETA aprn
4905 MEXICO RD. STE 400
SAINT PETERS, MO 63376
Phone number: 314-590-3721
Mailing Address
MIA DAVETA aprn
4905 MEXICO RD. STE 400
SAINT PETERS, MO 63376
Phone number: 314-590-3721