Individual
MICHELLE DENISE QUARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5025 NORTHRUP AVE, SAINT LOUIS, MO 63110-2029
(314) 773-3670
(314) 773-3705
Mailing address
118 N 2ND ST STE 200, SAINT CHARLES, MO 63301-2894
(636) 224-1210
(636) 946-0991
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2018022614
MO
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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