Individual
SANDRA J SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5509 DONNA DR, HIGH RIDGE, MO 63049-1630
(314) 691-0725
Mailing address
5509 DONNA DR, HIGH RIDGE, MO 63049-1630
(314) 691-0725
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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