Individual
MEGAN POUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 BOWLES AVE, FENTON, MO 63026-2394
(314) 835-7972
Mailing address
13373 EAST LN, SAINT LOUIS, MO 63128-3465
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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