SearchMissouri3747A0650X

Malissa Bennett

NPI 1639726276 · on the registry since 2019 · sole proprietor

Practice

Address
2457 Wieck Dr
Saint Louis, MO 63136
Phone
(314) 749-9818

Registry record

Primary taxonomy
3747A0650X
3747A0650X
Sex
Female
Record last updated
2019-08-19

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