Individual
NINA KEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 WESTPORT PLAZA, STE. 600, ST. LOUIS, MO 63146
(314) 363-4532
Mailing address
12362 ARDWICK LN, SAINT LOUIS, MO 63146-2801
(314) 363-4532
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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