Individual
ANNETTE GAMBRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-BSN
Contact information
Practice address
100 MEDICAL PLZ, LAKE ST LOUIS, MO 63367-1366
(636) 755-6311
Mailing address
110 MAGNOLIA WAY, SILEX, MO 63377-2487
(636) 486-5045
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
2012019993
MO
Other
Enumeration date
11/09/2024
Last updated
11/09/2024
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