Individual
SHANNON DOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7702 LOVELLA AVE, SAINT LOUIS, MO 63117-2144
(219) 713-0912
Mailing address
7702 LOVELLA AVE, SAINT LOUIS, MO 63117-2144
(219) 713-0912
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2018038434
MO
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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