Individual
MARIA T MOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3009 N BALLAS RD STE 227A, SAINT LOUIS, MO 63131-2308
(314) 996-7800
(314) 996-7829
Mailing address
3009 N BALLAS RD STE 227A, SAINT LOUIS, MO 63131-2308
(314) 996-7800
(314) 996-7829
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2014024610
MO
Other
Enumeration date
11/06/2014
Last updated
02/17/2021
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