Individual
BENJAMINE ARMISTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
605 OLD BALLAS RD, SUITE 118, CREVE COEUR, MO 63141-7000
(314) 993-5310
Mailing address
605 OLD BALLAS RD, SUITE 118, CREVE COEUR, MO 63141-7000
(314) 993-5310
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2012036437
MO
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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