Individual
JAMIE PANOZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-6000
Mailing address
5920 HOLYOKE DR, SAINT LOUIS, MO 63123-2714
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
2010032877
MO
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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