Individual
DR. JOSHUA ISHMAEL MEMBRENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BARNES JEW HOSP PLZ, SAINT LOUIS, MO 63110-1003
(314) 362-8065
Mailing address
660 S EUCLID AVE, MAIL STOP 8121-0022-07, ST LOUIS, MO 63110
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2024018212
MO
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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