Individual
DANA NOELLE DEMARTINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
266 LAMP & LANTERN, TOWN & COUNTRY, MO 63017
(636) 227-4949
Mailing address
230 VEST AVE, VALLEY PARK, MO 63088-1730
(636) 825-3384
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2001030121
MO
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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