Individual
MESKERM WORKIYE ASFAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
589 VINTAGE GROVE CT, WILDWOOD, MO 63038-2314
(314) 477-8326
Mailing address
589 VINTAGE GROVE CT, WILDWOOD, MO 63038-2314
(314) 477-8326
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AG12180037
MO
Other
Enumeration date
03/11/2019
Last updated
03/18/2019
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