Individual
THERESA GELVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, IBCLC
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 242-5912
(314) 678-2181
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 242-5912
(314) 678-2181
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
093121
MO
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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