Individual
ANGELINA VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9414 SAPPINGTON ESTATES DR, SAINT LOUIS, MO 63127-1664
(314) 221-2025
Mailing address
9414 SAPPINGTON ESTATES DR, SAINT LOUIS, MO 63127-1664
(314) 221-2025
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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