Individual
GINA LAGARCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 N. 11TH STREET, ST. LOUIS PUBLIC SCHOOLS, SAINT LOUIS, MO 63107
(314) 231-3720
Mailing address
4729 TIEMANN AVE, SAINT LOUIS, MO 63123-5816
(636) 346-7504
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
MO
Other
Enumeration date
11/02/2016
Last updated
11/03/2016
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