Individual
STACEY YVONNE PEGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17081 NORTH OUTER 40 RD STE 117, CHESTERFIELD, MO 63005-1452
(314) 496-0178
Mailing address
2369 WESFORD DR, MARYLAND HEIGHTS, MO 63043-4147
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
MO
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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