Individual
ANGELA PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6236 WAGNER AVE, SAINT LOUIS, MO 63133-2030
(314) 757-2161
Mailing address
6236 WAGNER AVE, SAINT LOUIS, MO 63133-2030
(314) 757-2161
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
B00490881
MO
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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