GWENDOLYN MICHELLE BOSTIC
Individual Provider (NPI-1)
Active
Registered Nurse, Ambulatory Care
Provider Information
- NPI Number
1851154918- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 6854 PARKER RD, FLORISSANT, MO, 630335313
- Phone
- (314) 652-4100
- Fax
- (314) 868-2561
Specialties & Taxonomies
Registered Nurse, Ambulatory Care
Primary License: MO #200421978