Individual
MARILYN MILLER MCGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
619 FASSEN ST, SAINT LOUIS, MO 63111-1836
(314) 775-8917
Mailing address
619 FASSEN ST, SAINT LOUIS, MO 63111-1836
(314) 775-8917
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
065236
MO
Other
Enumeration date
04/03/2009
Last updated
04/03/2009
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