Individual
MS. SANDRA M HABERMAAS-HEROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2 PROGRESS POINT CT, O FALLON, MO 63368-2208
(636) 344-1065
(636) 344-1064
Mailing address
660 S EUCLID AVE, C B 8054, SAINT LOUIS, MO 63110-1010
(636) 344-1065
(636) 344-1064
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
063644
MO
Other
Enumeration date
09/24/2007
Last updated
07/20/2009
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