Individual
ANGIE CAROLINA CARRENO MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1081
(314) 906-2515
Mailing address
4441 CHOUTEAU AVE APT 3315, SAINT LOUIS, MO 63110-1694
(407) 369-3302
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2023016763
MO
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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