Individual
MARY MOMPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
905 MAIN PLAZA DR, WENTZVILLE, MO 63385-1168
(636) 856-1260
Mailing address
1108 BONHOMME LAKE DR APT L, SAINT LOUIS, MO 63132-5307
(260) 433-0687
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2025000233
MO
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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