Individual
GAIL LATHEN-FARWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
343 S KIRKWOOD RD, KIRKWOOD, MO 63122-4015
(314) 452-6490
(314) 206-3477
Mailing address
343 S KIRKWOOD RD, KIRKWOOD, MO 63122-4015
(314) 452-6490
(314) 206-3477
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
110682
MO
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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