Individual
MRS. ANGELA RAE SQROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1011 BOWLES AVE STE G10, FENTON, MO 63026-2387
(636) 496-5453
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
156027
MO
Other
Enumeration date
04/02/2010
Last updated
06/28/2022
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