Individual provider · Type 1 NPI

Roxanna Marie Masso Maldonado

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1952243594 Active

Practice location

621 S New Ballas Rd Ste 10
St. Louis, MO 63141-8232

Call (314) 251-5775 Map

Fax (314) 251-5776

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1952243594

Roxanna Marie Masso Maldonado's National Provider Identifier is 1952243594, issued on Apr 6, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 6, 2026.