Individual
HALA YAMOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1402 S GRAND BLVD, M260, SAINT LOUIS, MO 63104-1004
(314) 977-9853
Mailing address
18 S KINGSHIGHWAY BLVD, APT 8U, SAINT LOUIS, MO 63108-1356
(314) 605-0858
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2008015354
MO
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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