Individual
AUDREY BLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7621 TEASDALE AVE, SAINT LOUIS, MO 63130-3925
(314) 956-8889
Mailing address
7621 TEASDALE AVE, SAINT LOUIS, MO 63130-3925
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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