Individual
RACHEL LAINE FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 PARK AVE, SAINT LOUIS, MO 63104-3024
(501) 690-5484
Mailing address
42 MASTERS PLACE DR, MAUMELLE, AR 72113-7019
(501) 690-5484
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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