Individual
IZABELLA LEIGH PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3437 CAROLINE ST, SAINT LOUIS, MO 63104-1111
(314) 977-8692
Mailing address
3704 FRANKLIN AVE, GRANITE CITY, IL 62040-3910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.010344
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
MO
Other
Enumeration date
01/02/2023
Last updated
02/08/2024
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