Individual
MRS. TINA WRZESINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8511 MIDLAND BLVD, OVERLAND, MO 63114-5923
(314) 423-1172
Mailing address
8511 MIDLAND BLVD, OVERLAND, MO 63114-5923
(314) 423-1172
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
057401
MO
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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