Individual
SHAMIA N CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2812 RUTGER ST, SAINT LOUIS, MO 63104-1836
(314) 484-3260
(844) 274-1077
Mailing address
2812 RUTGER ST, SAINT LOUIS, MO 63104-1836
(314) 484-3260
(844) 274-1077
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
823629745
—
MO
05
—
LC001483952
—
MO
Enumeration date
01/29/2021
Last updated
01/29/2021
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