Individual
KIMBERLY ANN PASTRANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
13536 PINE WOOD TRL, SAINT LOUIS, MO 63128-3382
(314) 369-3814
Mailing address
13536 PINE WOOD TRL, SAINT LOUIS, MO 63128-3382
(314) 369-3814
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
098426
MO
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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