Individual
MRS. DEBORAH MANNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, RDH
Contact information
Practice address
1500 PARK AVE, SAINT LOUIS, MO 63104-3024
(636) 778-9003
Mailing address
24 UPPER CONWAY CT, CHESTERFIELD, MO 63017-2076
(636) 778-9003
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
001136
MO
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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