| NPI | 1942430228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESPERANZA M PIMENTEL President 314-867-3890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MO 33313) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2009-07-23 |