Individual
MRS. MARSHA FAYE LUSTER-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
939 GAY AVE, SAINT LOUIS, MO 63130-2737
(314) 721-3746
Mailing address
939 GAY AVE, SAINT LOUIS, MO 63130-2737
(314) 721-3746
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012036462
MO
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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