Fenollal Maldonado, Gabriela
Fenollal Maldonado, Gabriela is an individual health care provider with primary practice located at 4444 Forest Park Ave Ste 2600 , Saint Louis MO 63108-2212. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Fenollal Maldonado, Gabriela can be contacted via phone (314) 286-1700.Contact Information
Primary practice address
4444 Forest Park Ave Ste 2600
Saint Louis MO 63108-2212
Phone: (314) 286-1700
Fax: (314) 747-6777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 2020017927 | Missouri |
Profile Details
| NPI number | 1598324600 |
|---|---|
| LBN Legal business name | Fenollal Maldonado, Gabriela |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2019 |
| Last updated | Jul 12th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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