Individual
MAYERLY ALEXANDRA BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11855 SUNLIND DR, SAINT LOUIS, MO 63127-1657
(916) 753-0128
Mailing address
11855 SUNLIND DR, SAINT LOUIS, MO 63127-1657
(916) 753-0128
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
NA
MO
171R00000X
Interpreter
NA
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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