Individual
AMANDA BAHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3615 OLIVE ST, SAINT LOUIS, MO 63108-3604
(314) 289-6540
Mailing address
3615 OLIVE ST, SAINT LOUIS, MO 63108-3604
(314) 289-6540
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
2016026023
NE
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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