Individual
CIERRA WANDRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12348 OLD TESSON RD STE 160, SAINT LOUIS, MO 63128
(314) 467-3800
(314) 577-5616
Mailing address
12348 OLD TESSON RD STE 160, SAINT LOUIS, MO 63128-2251
(314) 467-3800
(314) 577-5616
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1639531932
MO
Other
Enumeration date
03/25/2016
Last updated
07/01/2019
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