Individual
CARRIE VIDEMSCHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4005 RIPA AVE, SAINT LOUIS, MO 63125-2378
(314) 763-7300
Mailing address
4005 RIPA AVE, SAINT LOUIS, MO 63125-2378
(314) 763-7300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2006006046
MO
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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