Individual
AMY DO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4483 DUNCAN AVE, SAINT LOUIS, MO 63110-1111
(314) 454-7055
Mailing address
8108 EDENBROOK DR, O FALLON, MO 63368-6795
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2022023972
MO
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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