Individual
TAMARA DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9612 DURHAM DR, SAINT LOUIS, MO 63137-1352
(314) 825-9550
Mailing address
9612 DURHAM DR, SAINT LOUIS, MO 63137-1352
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2011005008
MO
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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