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Carol Ponciroli

NPI 1205360187 · on the registry since 2017 · sole proprietor

Practice

Address
4637 Pershing Pl
Saint Louis, MO 63108
Phone
(314) 361-6965

Registry record

Primary taxonomy
225XN1300X
225XN1300X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-04-17

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