Individual
MARIA DOLORES BUENAVENTURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6209 FINN ROCK CIR, SAINT LOUIS, MO 63128-4204
(314) 456-3417
Mailing address
6209 FINN ROCK CIR, SAINT LOUIS, MO 63128-4204
(314) 456-3417
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2017006106
MO
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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