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Individual

MARSHA Y GONZALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
3668 S GEYER RD STE 100, SAINT LOUIS, MO 63127-1232
(314) 821-8022
Mailing address
332 LITHIA AVE, SAINT LOUIS, MO 63119-1443
(704) 965-6198

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
147747
MO

Other

Enumeration date
08/07/2023
Last updated
08/07/2023
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