Individual
MRS. MARY LOU TONGAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4800 OAK RIDGE TRL, PARK HILLS, MO 63601-8224
(573) 315-9567
Mailing address
111 W PORT PLZ, STE 600, SAINT LOUIS, MO 63146-3015
(480) 862-1677
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016032820
MO
Other
Enumeration date
09/21/2016
Last updated
05/03/2018
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