Individual
CARMEN J SOUTHALL-WAMHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4386 LINDELL BLVD, SAINT LOUIS, MO 63108-2702
(314) 479-3636
Mailing address
10220 BUFFTON DR, SAINT LOUIS, MO 63123-5208
(314) 479-3636
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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