Individual
TAMARA PASTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3330 LACLEDE AVE, SAINT LOUIS, MO 63103-2014
(314) 977-7265
(314) 977-3183
Mailing address
4954 WINONA AVE APT 1W, SAINT LOUIS, MO 63109-2453
(217) 341-4778
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2011038216
MO
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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