Individual
KAYLA ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11102 LINDBERGH BUSINESS CT, SAINT LOUIS, MO 63123-7810
(314) 378-2773
Mailing address
1085 MAPLE ST, FARMINGTON, MO 63640-1955
(314) 378-2773
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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