Individual
MS. DANA LYN MEDLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
1504 COLLINS AVE, RICHMOND HEIGHTS, MO 63117-2115
(314) 288-5249
Mailing address
1504 COLLINS AVE, RICHMOND HEIGHTS, MO 63117-2115
(314) 288-5249
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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