Individual
REGANA HOLLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3863 CLEVELAND AVE, SAINT LOUIS, MO 63110-4009
(314) 664-3927
Mailing address
2641 CALIFORNIA AVE, SAINT LOUIS, MO 63118-1417
(314) 664-3927
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
045793
MO
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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