Search › Missouri › 163WP0808X
Angelia Mack
NPI 1871901967 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1907 1/2 Semple Ave
Saint Louis, MO 63112 - Phone
- (314) 303-9901
Registry record
- Primary taxonomy
- 163WP0808X
163WP0808X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-08-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri