Individual
JULIE A THIBEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5992 HOWDERSHELL RD, HAZELWOOD, HAZELWOOD, MO 63042-4107
(314) 731-1333
Mailing address
36 HAMPTON VILLAGE PLZ, SAINT LOUIS, SAINT LOUIS, MO 63109-2127
(314) 481-6005
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2006026897
MO
Other
Enumeration date
09/07/2012
Last updated
12/18/2012
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