Individual
DELORES B WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11935 KINGSHEAD DRIVE, FLORISSANT, MO 63033
(314) 653-1004
Mailing address
11935 KINGSHEAD DRIVE, FLORISSANT, MO 63033
(314) 653-1004
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
063558
MO
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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