Individual
KAREN MALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12258 SAINT CHARLES ROCK RD, BRIDGETON, MO 63044-2501
(314) 766-2064
Mailing address
10 SUMMER POINTE CT, O FALLON, MO 63366-6310
(636) 795-9002
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
MO2005008962
MO
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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