Individual
EVA MARIA GALLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
4525 MID RIVERS MALL DR STE 110, SAINT PETERS, MO 63376-2820
(636) 229-3350
Mailing address
649 CHARLESTON OAKS DR, BALLWIN, MO 63021-7390
(314) 401-4046
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2019042613
MO
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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