Individual provider · NPI-1
Gena L Magee
Technician/Technologist · Florissant, MO
NPI number1891334694
StatusActive
Last updated in NPPESJan 15, 2020
Details
- NPI
- 1891334694
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Gena L Magee
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 27, 2019
- Certification date
- Jan 15, 2020
- Last updated
- Jan 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156F00000X | Technician/Technologist | – | – | Yes |
Practice location
1150 Graham Rd Ste 101Florissant, MO 63031-8077
Phone 314-206-3956 · Fax 314-206-3992
Mailing address
1150 Graham Rd Ste 101Florissant, MO 63031-8077
Phone 314-206-3956 · Fax 314-206-3992
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