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Individual

MS. HELEN R RACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
1 CHILDRENS PL STE 2D, STE 2D, SAINT LOUIS, MO 63110-1002
(314) 454-6120
(314) 454-2523
Mailing address
660 S EUCLID AVE, C B 8111, SAINT LOUIS, MO 63110-1010
(314) 454-6120
(314) 454-2523

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
139436
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
428754303
MO
05
ENROLLED
IL
Enumeration date
07/14/2006
Last updated
01/29/2018
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