Individual
MRS. JACQUELINE E. MARSTALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2175 CHARBONIER RD, FLORISSANT, MO 63031-5566
(314) 831-5999
(314) 831-9434
Mailing address
2121 HOMEFIELD RIDGE CT, O FALLON, MO 63366-4757
(636) 240-3529
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2003004587
MO
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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