Individual
MRS. CARLA RENEE BONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
906 MORRISON AVE, SAINT LOUIS, MO 63104-3537
(314) 241-1552
Mailing address
906 MORRISON AVE, SAINT LOUIS, MO 63104-3537
(314) 241-1552
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T200221023
MO
Other
Enumeration date
08/24/2017
Last updated
07/21/2022
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