Individual
MRS. MOLLY ANNE FRIEDERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12348 OLD TESSON RD STE 160, SAINT LOUIS, MO 63128
(314) 467-3800
Mailing address
1548 HUMMINGBIRD PARK CT, ELLISVILLE, MO 63011-2021
(314) 602-5356
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2017039603
MO
Other
Enumeration date
02/20/2018
Last updated
07/22/2018
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