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Individual

MARISSA LYNN SAENGSAMRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, BC

Contact information

Practice address
816 S KIRKWOOD RD STE 210, SAINT LOUIS, MO 63122-6056
(314) 645-4500
(314) 645-5907
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2001015646
MO

Other

Enumeration date
12/27/2006
Last updated
12/30/2021
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