Individual
DIANE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7258 NORMANDY PL, SAINT LOUIS, MO 63121-5027
(314) 518-6046
Mailing address
7258 NORMANDY PL, SAINT LOUIS, MO 63121-5027
(314) 518-6046
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2000172572
MO
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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