Individual
MRS. KASANDRA ANN TINAJERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
915 N. GRAND BLVD., ST. LOUIS, MO 63106
(314) 652-4100
Mailing address
4161 LOUGHBOROUGH AVE, SAINT LOUIS, MO 63116-2807
(314) 724-9096
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
000000
MO
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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