Individual
LEE ANNE FRIEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
103 FARM VIEW LN, FORISTELL, MO 63348-1075
(314) 610-8426
Mailing address
103 FARM VIEW LN, FORISTELL, MO 63348-1075
13146108426
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
200016488
MO
Other
Enumeration date
06/02/2017
Last updated
06/02/2017
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