Individual
ANTHONY CONIGLIARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
6973 WINONA AVE, SAINT LOUIS, MO 63109-1175
(314) 619-0595
Mailing address
6973 WINONA AVE, SAINT LOUIS, MO 63109-1175
(314) 619-0595
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2007033466
MO
164W00000X
Licensed Practical Nurse
211217
TX
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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