Individual
SAMANTHA MEADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 PALERMO DR, BALLWIN, MO 63021-6420
(314) 299-2971
Mailing address
405 PALERMO DR, BALLWIN, MO 63021-6420
(314) 299-2971
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2025048489
MO
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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