NPI 1235778820

Henrietta N/A Washington

Practitioner Other Technician Saint Louis, MO

Practice location

Address: 1430 Olive St STE 400, Saint Louis, MO 63103-2303
Phone: (314) 206-3700

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Missouri →

Registry record

NPI: 1235778820
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Dec 2019
Record last updated: 30 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.