SearchMissouri376K00000X

Malinda Phenix

NPI 1083230924 · on the registry since 2020 · sole proprietor

Practice

Address
5819 Hodiamont Ave
Saint Louis, MO 63136
Phone
(314) 757-1191

Registry record

Primary taxonomy
376K00000X
376K00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-06-16

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