Search › Missouri › 363LA2200X
Hienok Hailu
NPI 1144775966 · on the registry since 2016 · sole proprietor
Practice
- Address
- 11725 Casa Grande Dr
Saint Louis, MO 63146 - Phone
- (314) 255-8395
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-08-29
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