Individual
ALYSSA GRUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CED
Contact information
Practice address
516 LOUGHBOROUGH AVE, SAINT LOUIS, MO 63111-2727
(314) 353-1349
Mailing address
2524 COUNTRY POINTE LN, WENTZVILLE, MO 63385-5433
(636) 293-3965
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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