Individual
MRS. MELINDA SUE WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ABO
Contact information
Practice address
9911 KENNERLY RD, SAINT LOUIS, MO 63128-2700
(341) 842-0420
(314) 842-1407
Mailing address
9911 KENNERLY RD, SAINT LOUIS, MO 63128-2700
(314) 842-0420
(314) 842-1407
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
14412
MO
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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