Individual
JACQUELINE S FUTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CDCES
Contact information
Practice address
3660 VISTA AVE STE 204, SAINT LOUIS, MO 63110-2540
(314) 977-6157
Mailing address
3901 JACINTO DR, SAINT LOUIS, MO 63125-3411
(314) 461-5686
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
2015020828
MO
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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