Individual
MS. KANDISS KAMILLE JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3540 CYPRESS CREEK DR, FLORISSANT, MO 63031-1340
(618) 530-5238
Mailing address
3540 CYPRESS CREEK DR, FLORISSANT, MO 63031-1340
(618) 530-5238
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
2013016439
MO
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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